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| One case of high complexity anal fistula complicated with female presacral cyst and literature review |
| YUAN Run ZHANG Zhuhui TIAN Rui JIANG Yun LEI Li LI Huashan |
| Department of Proctology, Guang’anmen Hospital, China Academy of Chinese Medical Sciences, Beijing 100053, China |
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Abstract For a long time, high complexity anal fistula has been recognized as a difficult disease in proctology department, while the incidence of presacral cyst is low, the understanding is still shallow, and the operation is difficult, which also poses no small problem for anorectal medical workers. Presacral cyst is often misdiagnosed as anal fistulas, and their pathogenesis and differential diagnosis remain to be further understood. In this paper, a female patient with recurrent high complexity anal fistula was found to have missed presacral cyst. Considering the close relationship between the cyst and the incidence of high complexity anal fistula, the incision was lengthened and the sinuses were removed completely and the mass was completely removed. Through the review and analysis of the diagnosis and treatment process and frontier progress, in order to provide reference for clinical diagnosis and treatment.
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