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[Primary anal tuberculous fissure]
Hugo Daniel Ruiz1, Jorge Musso, Adrián Ortega
1Servicio de Cirugía General y Sección Coloproctología, Hospital Nacional Dr Profesor Alejandro Posadas, El Palomar, Buenos Aires, Argentina. hugoruiz@ciudad.com.ar
Acta Gastroenterologica Latinoamericana
|October 23, 2009
Summary
Anal tuberculosis (TBC) fissures are rare, making diagnosis challenging. Prompt biopsy and specific treatment can effectively cure anal TBC fissures in adults.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Proctology
Background:
- Anal tuberculosis (TBC) is an uncommon manifestation of Mycobacterium tuberculosis infection.
- Perianal TBC fissures present diagnostic challenges due to their infrequent occurrence.
Observation:
- A case study of an adult female patient presenting with anal TBC fissure, characterized by bleeding and perianal pain.
- The patient's chronic, painful, and bleeding anal fissure did not respond to conventional treatments, raising suspicion for a specific etiology.
Findings:
- Histopathological examination via routine biopsy is crucial for diagnosing anal TBC fissure.
- Early and accurate diagnosis is essential for effective management.
Implications:
- Suspected diagnosis of anal TBC fissure should be considered in cases of chronic, treatment-resistant anal fissures.
- Effective treatment involves a 3-drug regimen for 3 to 4 months, leading to a cure.
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