Tubercular fistula in ano

Abstract

Of 122 patients with fistulae in ano operated upon in a 5-year period, 19 (15.6 per cent) were found to have tubercular fistulae on histopathological examination. There was no characteristic clinical picture and concomitant pulmonary tuberculosis was present in only three patients. Histological examination of the excised fistula is mandatory for the diagnosis of anal tuberculosis. There were no cases of Crohn's disease of the anal region.

Abdominal Tuberculosis - A Review

“…Tubercular fistulae are usually multiple. Constitutional symptoms were not present in any patient 75 . Anal tuberculosis is also seen in pediatric patients 76 .…”

“…The diagnosis of abdominal tuberculosis is often delayed, increasing the morbidity associated with this treatable condition 57,[63][64][65][66][67][68][69][70] . However, its presentation can be vague, non-specific and can masquerade as other conditions 58,[71][72][73][74][75][76] . Some times present as pneumoperitonium especially in ulcerative type, anemia, chronically ill looking, malnutrition, hemoptysis in case of associated pulmonary Tuberculosis and sometimes clubbing.…”

Abdominal Tuberculosis

“…31 The high frequency of rectal bleeding may be because of mucosal trauma caused by stool traversing the strictured segment. Digital examination reveals an annular stricture.…”

S3-Leitlinie: Analabszess

“…Sehr selten sind Abszesse bei speziellen Erregern (z. B. Tuberkulose, Aktinomykose, Gonorrhöe u. a; [6,11,18,20,28,69,104]). Weitere Sonderformen stellen Abszesse durch Fremdkörperingestion [23,26] arbeitete Fassung der Leitlinie aus dem Jahr 2011 [81,85] dar.…”

“…Seltene Ursachen eines Abszesses sind die Tuberkulose [6,11,18,104], die Aktinomykose [20,69] und die Gonorrhöe [28]. Weitere Sonderformen stellen Abszesse durch Fremdkörperingestion dar [23].…”