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Related Experiment Videos

Tubercular fistula in ano.

H S Shukla1, S C Gupta, G Singh

  • 1Department of Surgery, Banaras Hindu University, Varanasi, India.

The British Journal of Surgery
|January 1, 1988
PubMed
Summary

Diagnosis of anal fistulae requires histopathological examination to identify tuberculosis (TB). Only 15.6% of patients had tubercular fistulae, often without typical symptoms or lung TB.

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Area of Science:

  • Gastroenterology
  • Colorectal Surgery
  • Infectious Diseases

Background:

  • Fistulae in ano are common surgical conditions.
  • Diagnosis can be challenging, especially for non-specific presentations.
  • Tuberculosis can manifest in various anatomical locations, including the perianal region.

Purpose of the Study:

  • To determine the incidence of tubercular fistulae in ano.
  • To assess the clinical and diagnostic features of anal tuberculosis.
  • To emphasize the importance of histopathology in diagnosing anal fistulae.

Main Methods:

  • Retrospective analysis of 122 patients operated for fistulae in ano over 5 years.
  • Histopathological examination of excised fistula tissue.
  • Clinical data review for symptoms and co-existing conditions.

Main Results:

  • 19 out of 122 patients (15.6%) had tubercular fistulae.
  • No characteristic clinical presentation for anal TB.
  • Only 3 patients (2.5%) had concurrent pulmonary tuberculosis.
  • No cases of Crohn's disease were identified.

Conclusions:

  • Histopathological examination of excised anal fistulae is essential for diagnosing tuberculosis.
  • Anal tuberculosis may present without typical clinical signs or pulmonary involvement.
  • Tuberculosis is an important differential diagnosis for fistulae in ano.

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