Unexpected complication after radical (inguinal) orchidectomy: trans-sphincteric anoscrotal fistula.

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Unexpected complication after radical (inguinal) orchidectomy: trans-sphincteric anoscrotal fistula.

BMJ Case Rep. 2017 Jan 10;2017:

Authors: Patel A, Gillespie C, Kiosoglous AJ

Abstract
Anoscrotal fistula is an extremely rare condition involving an epithelialised tract between the anal canal and scrotal wall. It is more commonly seen as a congenital phenomenon in the paediatric population, and has not previously been described in the literature in adults. We present the case of a man aged 52 years who developed a complex anoscrotal fistula after a radical inguinal orchidectomy for an intratesticular seminoma. A postsurgical wound-site infection developed into a chronically discharging wound refractory to antibiotic treatment prompting further investigation. By way of MRI, a 10 cm long trans-sphincteric anoscrotal fistula was found. The patient was successfully treated by fistuloscopic curettage, internal closure using an Ovesco clip, and negative pressure dressing. We present for the first time a rare anoscrotal fistula in an adult.

PMID: 28073875 [PubMed - indexed for MEDLINE]

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