Posterior Horseshoe Fistula with Horse-Shoe Ishiorectal Abscess with Bilateral Supralevator Abscess Tract (Extending upto S1)

Authors

  • Abhay Setia Department of General Surgery, National Institute of Medical Sciences, Jaipur, Rajasthan, India
  • D.K. Kasliwal Department of General Surgery, National Institute of Medical Sciences, Jaipur, Rajasthan, India
  • Sunil Agarwal Department of General Surgery, National Institute of Medical Sciences, Jaipur, Rajasthan, India
  • Gaurav Kumar Nirwal Department of General Surgery, National Institute of Medical Sciences, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.37591/rrjos.v3i3.1417

Abstract

Ano-rectal sepsis is a benign perianal disease. Fistula in ano develops as a sequel to an abscess that does not heal, bursts or is drained inadequately. We are reporting an unusual case of bilateral Ischiorectal abscess/fistula (Horse-shoe) with high supralevator abscess tract (extending upto S1 vertebrae), with a common internal opening posteriorly in the midline and external openings at laterally at both sides. Such atypical abscess/fistula is uncommon and complex. Adequate pre-operative knowledge about the extension of the tract is a must. Surgical drainage of the abscess and debridement with complete excision of the tract, antibiotic coverage with adequate post-operative wound care forms the main stay of treatment.

 

Keywords: perianal abscess, posterior Horseshoe fistula, Horseshoe Ischiorectal Abscess, Supralevator abscess, Fistula in ano.

 

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Published

2019-04-15

Issue

Vol. 3 No. 3 (2014)

Section

Case Study

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