title: Chronic arthritis of the hip joint: an unusual complication of an inadequately treated fistula-in-ano.
abstract: We report a case of chronic arthritis of the right hip joint in an otherwise healthy young male athlete as a complication of inadequately treated anal fistula. A young male athlete presented with symptoms of right hip pain and difficulty in walking and intermittent fever for 2 months. He had a history of perianal abscess drainage. On examination he was found to have a tender right hip joint with severe restriction of movements. He was also found to have a partially drained right ischiorectal abscess. X-ray and MRI of the hip joint revealed chronic arthritis of the right hip joint, which was communicating with a complex fistula-in-ano. He underwent a diversion sigmoid colostomy and right ischiorectal abscess drainage along with appropriate antibiotics with a plan for definitive hip joint procedure later. He was lost to follow-up and succumbed to severe perianal sepsis within a few months.
authors.affiliation: Department of Surgery Unit 2 & Colorectal Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Rajat
authors.initials: R
authors.lastname: Raghunath
authors.affiliation: Department of Surgery Unit 2 & Colorectal Surgery, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Gigi
authors.initials: G
authors.lastname: Varghese
authors.affiliation: Department of Radiology, Christian Medical College, Vellore, Tamil Nadu, India.
authors.forename: Betty
authors.initials: B
authors.lastname: Simon
mesh_terms: D000038:Abscess / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D002908:Chronic Disease; D003125:Colostomy / Q000379:methods; D004322:Drainage / Q000009:adverse effects*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D015207:Osteoarthritis, Hip / Q000175:diagnosis / Q000209:etiology*; D011860:Radiography, Abdominal; D012003:Rectal Fistula / Q000601:surgery*; D012007:Rectum; D012086:Reoperation; D013530:Surgical Wound Infection / Q000150:complications* / Q000628:therapy; D055815:Young Adult
chemical_list: D000900:Anti-Bacterial Agents