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Posterior Approach for Debridement of the Psoas Abscess
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An interesting fistula tract presenting with recurrent gluteal abscess: instructive case
Gulsum Iclal Bayhan1, Ozge Metin2, Burak Ardicli3
1Department of Pediatric Infectious Disease, Yuzuncu Yil University, 65000 Van, Turkey.
Case Reports in Pediatrics
|May 7, 2015
Summary
This study details a rare congenital penile-to-gluteal fistula in a boy, complicated by abscesses. Treatment with bleomycin in the fistula tract yielded successful results.
Area of Science:
- Urology
- Pediatric Surgery
- Medical Imaging
Background:
- Penile-to-gluteal fistula is an exceptionally rare congenital anomaly.
- Congenital fistulas can present with complications such as abscess formation.
Purpose of the Study:
- To report a novel variant of congenital penile-to-gluteal fistula.
- To describe its management and successful treatment in a pediatric patient.
Main Methods:
- A case study of a previously healthy boy presenting with a penile-to-gluteal fistula.
- Diagnostic fistulogram to delineate the fistulous tract.
- Intralesional bleomycin injection for fistula treatment.
Main Results:
- Successful identification of a congenital penile-to-gluteal fistula via fistulogram.
- Resolution of gluteal and penoscrotal abscesses following treatment.
- Positive outcome achieved using bleomycin in the fistula tract.
Conclusions:
- Congenital penile-to-gluteal fistula is a rare condition requiring accurate diagnosis.
- Bleomycin instillation offers a successful therapeutic option for such fistulas.
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