title: [Tuberculous anal fistulas. 13 cases].
abstract: Our retrospective study concerns 13 cases of anal tuberculosis fistulas, studied over a period of 12 years, between January 1980 and December 1991. The mean age of our patients was 24 years and they were predominantly male. The diagnosis, which was suspected clinically, was confirmed histologically, either by ridge biopsies of the external orifice of the fistula or by surgical removal of the fistular passage in patients having undergone an initial surgical intervention. In 5 cases, we noted an associated pulmonary tuberculosis involvement. The treatment comprised 2 phases: an antibacillary medical treatment in all cases and a surgical treatment depending on whether the diagnosis was initially based on the ridge biopsies of the external orifice--6 cases (46.15%)--or after removal of the fistular passage--7 cases (53.85%). The outcome was good in all cases.
authors.affiliation: CHU Ibn Rochd, Casablanca, Maroc.
authors.forename: M
authors.initials: M
authors.lastname: Alyoune
authors.forename: S
authors.initials: S
authors.lastname: Nadir
authors.forename: M
authors.initials: M
authors.lastname: Merzouk
authors.forename: A
authors.initials: A
authors.lastname: Mounadif
authors.forename: M C
authors.initials: MC
authors.lastname: Biadillah
authors.forename: D
authors.initials: D
authors.lastname: Jamil
authors.forename: R
authors.initials: R
authors.lastname: Alaoui
authors.forename: A
authors.initials: A
authors.lastname: Cherkaoui
mesh_terms: D000293:Adolescent; D000328:Adult; D000995:Antitubercular Agents / Q000627:therapeutic use; D001004:Anus Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D001706:Biopsy; D003107:Colorectal Surgery; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D011379:Prognosis; D012003:Rectal Fistula / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D012189:Retrospective Studies; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology / Q000601:surgery; D014397:Tuberculosis, Pulmonary / Q000150:complications*
chemical_list: D000995:Antitubercular Agents
vernacular_title: Fistules anales tuberculeuses. A propos de treize cas.