Surgical Management of Perianal Crohn's Disease with the Turnbull-Cutait Procedure: A Case Report.

Perianal complications of Crohn's disease are one of the significant reasons for abdominoperineal resection in patients with medically refractory perianal Crohn's disease. A 35-year-old man with Crohn's disease with colostomy presented to our clinic due to perianal fistulas. Complete stricture of the anus was observed, and the patient was found unsuitable for the stoma closure. The Turnbull-Cutait procedure was performed and he was discharged on the fifth postoperative day. In the second month after surgery, rectoscopy revealed a 2 cm long pouch on the neorectum. Then, the patient was treated with antibiotics and infliximab. Following the treatment, the symptoms of the patient were regressed. In the 10th postoperative month, a perianal abscess was seen, and the patient was treated with antibiotics. His ileostomy was reversed in the 18th postoperative month without any complications. In the 42nd postoperative month, no complications were reported. This case report presents the index perianal Crohn's disease case successfully treated with the Turnbull-Cutait procedure.