Unexpected complication after radical (inguinal) orchidectomy: trans-sphincteric anoscrotal fistula
| Autor: | Amit Patel, Chris Gillespie, Anthony J. Kiosoglous |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
medicine.medical_specialty Fistula medicine.medical_treatment Article 03 medical and health sciences Scrotal wall Postoperative Complications 0302 clinical medicine Discharging wound Testicular Neoplasms medicine Humans Rectal Fistula Anus Diseases business.industry General Medicine Seminoma Middle Aged Anal canal medicine.disease Magnetic Resonance Imaging Curettage Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Scrotum 030211 gastroenterology & hepatology Genital Diseases Male Complication business Orchiectomy Paediatric population |
| Zdroj: | BMJ Case Reports. :bcr2016218078 |
| ISSN: | 1757-790X |
| DOI: | 10.1136/bcr-2016-218078 |
| Popis: | Anoscrotal fistula is an extremely rare condition involving an epithelialised tract between the anal canal and scrotal wall. It is more commonly seen as a congenital phenomenon in the paediatric population, and has not previously been described in the literature in adults. We present the case of a man aged 52 years who developed a complex anoscrotal fistula after a radical inguinal orchidectomy for an intratesticular seminoma. A postsurgical wound-site infection developed into a chronically discharging wound refractory to antibiotic treatment prompting further investigation. By way of MRI, a 10 cm long trans-sphincteric anoscrotal fistula was found. The patient was successfully treated by fistuloscopic curettage, internal closure using an Ovesco clip, and negative pressure dressing. We present for the first time a rare anoscrotal fistula in an adult. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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