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Vaginoperineal Fistula as a Complication of Perianal Surgery in a Patient with Sjögren’s Syndrome: A Case Report

Title: Vaginoperineal Fistula as a Complication of Perianal Surgery in a Patient with Sjögren’s Syndrome: A Case Report
Authors: Kemal Beksac; Mert Turgal; Derman Basaran; Omer Aran; M. Sinan Beksac
Source: Case Reports in Rheumatology, Vol 2014 (2014)
Publisher Information: Wiley, 2014.
Publication Year: 2014
Collection: LCC:Diseases of the musculoskeletal system
Subject Terms: Diseases of the musculoskeletal system; RC925-935
Description: Forty-seven-year-old woman with Sjögren’s syndrome had been operated on because of transsphincteric perianal fistula secondary to perianal abscess. Vaginal wall injury occurred during the course of the operation and injured tissue was repaired primarily. Three months later, patient suffered from the recurrence of perianal fistula symptoms and fistulectomy was performed once again under antibiotic suppression. Several months later, perineal discharge continued, and, therefore, patient was admitted to the hospital for the third time and a fistulotomy was performed. Two months after the third operation, patient was admitted with leukorrhea and a perineovaginal fistula was detected. This time, not only her surgical problem but also her immune system disorder was considered in the preoperative workup. Then, patient was hospitalized for the fourth time and “fistulectomy/perineoplasty” was performed successfully. We believe that patients with autoimmune disorders with or without medical treatment may have healing problems during the course of surgical processes and therefore such medical problems must be taken into consideration by the surgeons.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 2090-6889; 2090-6897
Relation: https://doaj.org/toc/2090-6889; https://doaj.org/toc/2090-6897
DOI: 10.1155/2014/359605
Access URL: https://doaj.org/article/b800ffbc99bb4301ac08016fc45b0f6d
Accession Number: edsdoj.b800ffbc99bb4301ac08016fc45b0f6d
Database: Directory of Open Access Journals