Unveiling the Hidden: Successful Surgical Management of a Rare Case of Chronic Perineal Sinus Tract

Sinus tracts are rare in the perineal region, and they present as chronic non-healing sinus tracts. This is a case report that aims to showcase the surgical management of a chronic sinus tract. A 26-year-old female presented with a history of a non-healing sinus tract below the right vulva for the last seven years. There was no significant improvement despite medical management. A curvilinear sinus tract with fibrotic changes in the right perineal region with no communication with the anal canal or vagina was seen in the MRI. Embarrassment and hesitation to seek early surgical help result in infection, formation of abscess, scarring, and perineal disfigurement. Understanding the disease's etiology, clinical presentation, and treatment options for this condition is important for effective treatment. A successful outcome was obtained when surgical excision of the sinus tract with primary closure was done. This case discusses the importance of surgical intervention in a chronic perineal sinus tract refractory to medical management.