Amoebic Anal Fistula: New Insight Into an Old Disease
Abstract: A 67-year-old
gentleman underwent fistulectomy for low trans-sphincteric anal fistula along
with curettage for an associated abscess extending proximally for half a
centimeter into the intersphincteric plane. The roof of the cavity became
clearly visible after satisfactory culmination of the surgical procedure.
Histopathological examination of the fistulous tract and the curetted
granulation tissue revealed presence of multiple trophozoites of Entamoeba
histolytica exhibiting erythrophagocytosis in the background of mixed
inflammatory infiltrate. This case report provides the outlook that yields the
novel insight into the possible role of Entamoeba histolytica in the
pathogenesis and persistence of the fistulous tract.
Key words: anal fistula,
Entamoeba histoliytica, fistula
Author: Vivek Agrawal, Pankaj
Kumar Garg, Bhupendra Kumar Jain, Kiran Mishra, Debajyoti Mohanty
Journal Code: jpkedokterangg140313
