A Comprehensive Case Study on the Successful Treatment of Perianal Fistula in a Four-Year-Old Male


  • Aliaa A. Abdulqadir Basra Health Directorate, Ministry of Health, Basra, Iraq; Department of General Surgery, Faculty of Medicine of Sousse, University of Sousse, Sousse,Tunisia.
  • MADANU DAVID PAUL RAJU Hitam Ayurvedic Anorectal Institute, Nizampet, Hyderabad, Telangana 500090, India.
  • Mukul H Patel Department of proctology, Shreyas Ano-Rectal Hospital & Research Centre, Surat, Gujarat 395001, India; Vice-chancellor, Gujarat Ayurved University, Jamnagar, Gujarat 361008, India.




Rectal Fistula, Fistulotomy, Pediatric Fistula, MRI fistulogram, Non-Surgical Management


This case study gives a thorough account of how a four-year-old boy who had been experiencing recurrent discomfort and perianal discharge for six months was diagnosed, treated, and then recovered. An MRI fistulogram revealed a transphincteric fistula with both the internal and exterior apertures placed at the 9 o'clock position, despite the absence of concomitant diseases and prior procedures. The treatment method used methylene blue infiltration to verify the internal aperture and then metal probe probing of the track. From the exterior to the internal opening, a partial fistulotomy was carried out, and the raw proximal track was treated with Kshara sutra. Surprisingly, the fistula was fully cured in just three months. This case study gives priceless information that could direct future treatments and serves as a testimonial to the efficiency of such a therapy method in controlling juvenile fistulas.


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How to Cite

Abdulqadir, A. A. ., RAJU, M. D. P. ., & Patel , M. H. . (2023). A Comprehensive Case Study on the Successful Treatment of Perianal Fistula in a Four-Year-Old Male. Journal of Contemporary Medical Sciences, 9(4). https://doi.org/10.22317/jcms.v9i4.1406



Case Report