Anal Fistula in Children: A Case Report from The Donka Chu National Hospital in Conakry

Abstract

Introduction: anal fistula (AF) is a common anorectal disorder, with an estimated incidence of 0.5% to 4.3% in daily practice in infants. Most cases occur in children under one year of age, with a strong male predominance. Anal fistula during these periods is probably congenital in origin. The aim of our study was to discuss a case of crypto-glandular anal fistula in children. Case Report: 4-year-old patient admitted with a purulent perianal discharge of congenital origin. He had no previous history of the condition and was the second oldest of three siblings. General examination showed a lucid patient with a good physical appearance and good colouration of the integuments and conjunctivae. Pulse = 90/min; FR=26/ min; the abdomen was symmetrical and supple with no hepatosplenomegaly. Examination of the perineum showed a cutaneous orifice in the form of a granuloma of left lateral topography. The cryptic orifice was visible with the finger prick (Good Sall). Biological tests were unremarkable. We performed a fistulectomy (Figures 2 and 3); the specimen sent to the pathology department showed a fleshy bud on the fistulous pathway. Conclusion: Crypto-glandular anal fistula in children is a common condition. It is diagnosed clinically, and surgical treatment remains appropriate in our context despite the lack of consensus.