Perianal Tuberculosis: Report of a Case and Review of the Literature

Abstract

Tuberculosis of the perianal region is a proportionally rare and misdiagnosed disease. We present a patient who was operated upon 5 times for persistent perianal fistula and recurrent abscess formation. Only a specific animal test and biopsy confirmed the diagnosis. The literature is reviewed and the differential diagnosis as well as the need to investigate cases of resistant perianal pathology are stressed.

Usefulness of Interferon-Gamma Release Assay for Diagnosis of Tuberculous Fistulae in Ano

“…Anal fistula is the most frequent symptom of anorectal TB (80∼91% of cases) (7)(8)(9) and anal TB is commonly seen in men (4：1 ratio) and …”

Tuberculosis Unexpectedly Presented Along Gastrointestinal Tract in Surgical Ward

“…[14] The anoperineal area is rarely affected with TB and represents less than 1% of all intestinal TB. [15], [16], [17], [18] In US, population groups at particular risk for intestinal tuberculosis are immigrants, AIDS, urban poor, the Indians on reservations. [10] Marshal JB has reported that almost 15-20% of intestinal TB have active lung TB at the same time.…”

“…[14] In addition, in miliary TB, haematogenous or lymphatic spread considered as another source of intestinal TB. [9], [16] However, many other reports have described that gastrointestinal TB happens concomitant with or secondary to pulmonary TB [15], [17], [18], [19] which might be manifested thereafter or might not. [10] Nevertheless, gastrointestinal TB including Intestinal and anoperineal may develop by reactivation of the latent focus and pulmonary tuberculosis may not present.…”

Périnée polyfistuleux chez un sujet jeune

“…La prévalence des localisations périanales n'est pas connue, mais elles représenteraient 0,3 à 6 % des fistules anales [2]. Il existe un long délai entre les manifestations cliniques initiales et le diagnostic [3]. Dans notre cas, ce délai a été de huit mois.…”