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Case Reports in Medicine
Volume 2010 (2010), Article ID 189846, 3 pages
http://dx.doi.org/10.1155/2010/189846
Case Report

An Atypical Etiology of Suprasphincteric Fistula: A Forgotten Surgical Material

Department of General Surgery, Cerrahpasa Medical School, Istanbul University, Cerrahpasa, Fatih 34098, Istanbul, Turkey

Received 21 January 2010; Revised 24 April 2010; Accepted 19 May 2010

Academic Editor: Remo Panaccione

Copyright © 2010 Melih Paksoy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

While the majority of fistulas in ano result from infection of the anal crypts, complex, recurrent, and/or nonhealing fistulas should always raise the suspicion of a chronic underlying condition. In this paper, we present a 30-year-old male patient with a diagnosis of a complex suprasphincteric fistula caused by a surgical thread left behind after an orthopedic hip operation performed sixteen years ago. Partial fistulectomy, extraction of the foreign material, and debridement procedures were performed. Few cases of such complex fistulas in ano due to foreign materials have been described in the literature. After careful history-taking, meticulous physical examination under general anesthesia should be done in order to deal with this rare type of fistula.