Intriguing case of fistula-in-ano presenting as corpora spongiosum abscess

S. Jha, B. Sureka, J. Khatri, M. Lodha
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Abstract

A 77-year-old male, with a known history of diabetes mellitus for 10 years on alternative medication, known case of chronic constipation with hemorrhoids, and chronic lower urinary tract symptoms for many years, presented to the emergency with fever and chills for 2 days followed by acute urinary retention, which was relieved by insertion of Foley’s catheter. Eventually, he developed pain in the perianal region along with perianal discharge. On clinical examination, fistula-in-ano was evident. Magnetic resonance imaging was done for further evaluation which revealed fistula-in-ano communicating into a large abscess of corpus spongiosum of penis.
以海绵体脓肿为表现的腹腔瘘的有趣病例
男性,77岁,已知糖尿病史10年,经替代药物治疗,已知慢性便秘伴痔疮,慢性下尿路症状多年,急诊时发热、畏寒2天,急性尿潴留,经Foley导尿管置入后缓解。最后,他出现肛周疼痛并伴有肛周分泌物。临床检查,明显可见瘘管。经核磁共振检查,发现阴茎海绵体处有一个大脓肿,并有瘘管与之相通。
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