| Abstract [eng] |
Anorectal, or anal fistula, is a connection formed between the anorectal canal and the surrounding tissues, which can occur due to anorectal abscesses, foreign bodies in the rectum. In patients with anorectal fistula, this may be a sign of Crohn's disease. The most common complaints of patients are itching, discharge, discomfort and possible pain during defecation. Imaging tests such as endoanal ultrasound, computed tomography, and magnetic resonance imaging are used to diagnose fistulas. Treatment is usually surgical in combination with pharmacotherapy with TNF-alpha inhibitors and, if necessary, antimicrobial drugs. The case of anorectal fistula described in this paper is interesting in that the patient was diagnosed with Crohn's disease during treatment. Complications also developed - bowel stricture and fecal incontinence. This case shows that when examining a patient for anorectal fistula, it is important to remember that the cause of the pathology may be much more complex than it seems at first. With this in mind, a careful diagnostic and treatment plan is required to ensure the best possible outcome. |
