A case report of primary complex anal fistula with 7 external openings treated with combined preoperative 3D MRI model-Reference-Cited by-同舟云学术

A case report of primary complex anal fistula with 7 external openings treated with combined preoperative 3D MRI model

Published:2023-03-17 Issue:11 Volume:102 Page:e33264
ISSN:0025-7974
Container-title:Medicine
language:en
Short-container-title:

Author:

Hong Yongping¹,Qiu Yonggang²,Li Guofeng¹^ORCID

Affiliation:

1. Department of Anorectal Surgery, The First People’s Hospital of Xiaoshan District, Hangzhou, Zhejiang, P.R. China

2. Department of Radiology Department, The First People’s Hospital of Xiaoshan District, Hangzhou, Zhejiang, P.R. China.

Abstract

Introduction: Anal fistula is a common perianal disease, but primary complex anal fistulas with 7 external openings is extremely rare. Patient concerns: We report a case of a 36-year-old man with a 10-year history of recurrent pus flow from paranal mass. Diagnosis: Primary complex anal fistula. Interventions: The patient underwent fistulotomy plus seton, which we successfully completed with the aid of 3-dimensional (3D) reconstruction model created from magnetic resonance imaging (MRI). Outcomes: The wound healed well and there was no recurrence 8 months after surgery. Conclusion: In the treatment of complex anal fistula, the combined application of 3D MRI model will be beneficial to obtain better surgical results.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Subject

General Medicine

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