P Ajay Nayagam, P Suganya, Ahmad Samir
Department of General Surgery, Sree Balaji Medical College and Hospital, Chennai, IND.
Cureus. 2025 May 8;17(5):e83718. doi: 10.7759/cureus.83718. eCollection 2025 May.
Sinus tracts are rare in the perineal region, and they present as chronic non-healing sinus tracts. This is a case report that aims to showcase the surgical management of a chronic sinus tract. A 26-year-old female presented with a history of a non-healing sinus tract below the right vulva for the last seven years. There was no significant improvement despite medical management. A curvilinear sinus tract with fibrotic changes in the right perineal region with no communication with the anal canal or vagina was seen in the MRI. Embarrassment and hesitation to seek early surgical help result in infection, formation of abscess, scarring, and perineal disfigurement. Understanding the disease's etiology, clinical presentation, and treatment options for this condition is important for effective treatment. A successful outcome was obtained when surgical excision of the sinus tract with primary closure was done. This case discusses the importance of surgical intervention in a chronic perineal sinus tract refractory to medical management.
窦道在会阴区很少见，表现为慢性不愈合的窦道。本文是一例报告，旨在展示慢性窦道的手术治疗方法。一名26岁女性，有右侧外阴下方慢性不愈合窦道病史7年。尽管接受了药物治疗，但病情无明显改善。MRI显示右侧会阴区有一条曲线形窦道，伴有纤维化改变，与肛管或阴道无相通。因尴尬和犹豫而未能早期寻求手术帮助，导致感染、脓肿形成、瘢痕形成和会阴畸形。了解该疾病的病因、临床表现和治疗选择对于有效治疗至关重要。通过窦道手术切除并一期缝合获得了成功的结果。本病例讨论了手术干预在药物治疗无效的慢性会阴窦道中的重要性。
