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Anal fistula with tuberculosis

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Tuberculosis is one of the causes of granulomatous disease within the anorectal region. The clinical features, which include symptoms and signs of anal pain or discharge, multiple or recurrent fistula in ano and inguinal lymphadinopathy, are not characteristically distinct from other anal lesions. Infection leading to fistula is generally supposed to originate from an infected anal gland. The infection usually occurs from the bowel lumen, the patient swallowing the sputum laden with tubercle bacilli. This is the commonest route of infection in patients suffering from pulmonary tuberculosis. Tuberculosis can occur anywhere in the gastrointestinal tract. A 46-years-old male presented with abdominal pain and perianal discharge of 30 years duration. The patient had received operations for anal fistula and inflammation three times. Anal fistula is among the most common illnesses affecting man. A case of anal tuberculosis in an otherwise asymptomatic patient with bleeding anal ulcers is presented.   sacral tuberculosis presented as anal fistula was previously reported only one case. As in our case, the patient had an intractable anal fistula 25 years previously, and he underwent several surgeries for the complex anal fistula with the removal of coccyx. Purpose the course from a complex anal tuberculosis associated fistula, confirmed after initial suspicion of crohns disease, is presented in order to emphasize the relevance of suspicion and a. An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Chourak m, bentama k, chamlal i, raiss m, hrora a, sebbah f, benamer a, ahallat m. Pmid 20221764 pubmed - indexed for medline publication types case reports letter mesh terms. Adult antitubercular agentstherapeutic use humans rectal fistulacomplications rectal fistulasurgery tuberculosis.   in 1939, together with smith, we 1 reported a study of 206 consecutive patients who had anal fistulas and we considered the part tuberculosis plays in the disease. Since that time we have had the opportunity to study a larger series of patients and these, together with the 206 previously studied, compose the 600 patients on whom this report is based. Surgical procedures are needed if there is a fistula or abscess. The ulcerative lesions of the anus associated with tuberculosis regress in few weeks following the treatment.

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