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Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 97-100

Tuberculous fistula-in-ano

Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, New Delhi, India

Correspondence Address:
Parmeshwar Bambrule
Department of General and Laparoscopic Surgery, Sir Ganga Ram Hospital, Old Rajinder Nagar, New Delhi - 110 060
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/IJCS.IJCS_9_20

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Perianal tuberculosis (TB) is a rare diagnosis in cases of fistula-in-ano, especially in cases where healing has not occurred despite multiple surgical interventions. One should consider a high level of possibility of harboring TB, which may be the reason behind the failure of treatment and multiple recurrences. The histopathological finding includes epithelioid cell granulomas, and caseation necrosis would be an essential guide in such cases along with the other tests such as acid-fast bacillus staining and culture and Mantoux test. The treatment of tuberculous fistula-in-ano includes not only surgical but also the full course of four-drug anti-tubercular treatment for at least 6 months and regular follow-up to cope up with recurrence.

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