[Primary anal tuberculous fissure].
The anal tuberculous (TBC) fissure is infrequent. For this reason diagnosis is difficult. A case of a female adult patient with anal TBC fissure that consults for bleeding and perianal pain is presented. The perianal tuberculosis is a rare manifestation of the general disease. A routine biopsy must be performed, with the corresponding histopathologic study. A specific origin should be suspected when an anal chronic fissure, painful and bleeding, without response to the habitual treatment, is found. The primary TBC fissure can be cured with the administration of three drugs during 3 to 4 months.
Servicio de Cirugía General y Sección Coloproctología, Hospital Nacional Dr Profesor Alejandro Posadas, El Palomar, Buenos Aires, Argentina. hugoruiz@ciudad.com.ar
Hugo Daniel
HD
Ruiz
Jorge
J
Musso
Adrián
A
Ortega
Lisandro
L
Moreno
Carlos M
CM
Obredor
Carlos
C
Zorraquín
D000368:Aged; D000995:Antitubercular Agents / Q000627:therapeutic use; D001004:Anus Diseases / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy; D001706:Biopsy; D005260:Female; D005401:Fissure in Ano / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D006801:Humans; D014385:Tuberculosis, Gastrointestinal / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy
D000995:Antitubercular Agents