Pediatric Fistula-in-Ano Workup

  • Author: Jayant Deodhar, MD; Chief Editor: Harsh Grewal, MD, FACS, FAAP   more...
 
Updated: Mar 5, 2010
 

Laboratory Studies

  • Culture and sensitivity testing to identify the causative organisms
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Imaging Studies

  • Endorectal ultrasonography and MRI for mapping of complex fistulae
  • Fistulography
  • Hydrogen peroxide–enhanced ultrasonography
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Contributor Information and Disclosures
Author

Jayant Deodhar, MD  Associate Professor in Pediatrics, BJ Medical College, India; Honorary Consultant, Departments of Pediatrics and Neonatology, King Edward Memorial Hospital, India

Disclosure: Nothing to disclose.

Coauthor(s)

Aquil R Khan, MS (Pediatric Surgery), MBBS  Consulting Staff, Department of Pediatric Surgery, KEM Hospital, India

Disclosure: Nothing to disclose.

Specialty Editor Board

Mary L Windle, PharmD  Adjunct Associate Professor, University of Nebraska Medical Center College of Pharmacy; Pharmacy Editor, eMedicine

Disclosure: Nothing to disclose.

Andre Hebra, MD  Chief, Division of Pediatric Surgery, Professor of Surgery and Pediatrics, Medical University of South Carolina College of Medicine; Surgeon-in-Chief, Medical University of South Carolina Children's Hospital

Andre Hebra, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, Children's Oncology Group, Florida Medical Association, International Pediatric Endosurgery Group, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons, South Carolina Medical Association, Southeastern Surgical Congress, and Southern Medical Association

Disclosure: Nothing to disclose.

H Biemann Othersen Jr, MD  Professor of Surgery and Pediatrics, Emeritus Head, Division of Pediatric Surgery, Medical University of South Carolina

H Biemann Othersen Jr, MD is a member of the following medical societies: Alpha Omega Alpha, American Academy of Pediatrics, American Association for the Surgery of Trauma, American Burn Association, American Cancer Society, American College of Surgeons, American Medical Association, American Pediatric Surgical Association, American Society for Parenteral and Enteral Nutrition, American Surgical Association, American Thoracic Society, British Association of Paediatric Surgeons, Society for Surgery of the Alimentary Tract, Society of Critical Care Medicine, South Carolina Medical Association, Southeastern Surgical Congress, Southern Medical Association, Southern Society for Pediatric Research, and Southern Thoracic Surgical Association

Disclosure: Nothing to disclose.

Chief Editor

Harsh Grewal, MD, FACS, FAAP  Professor of Surgery and Pediatrics, Temple University School of Medicine; Chief, Section of Pediatric Surgery, Temple University School of Medicine

Harsh Grewal, MD, FACS, FAAP is a member of the following medical societies: American Academy of Pediatrics, American College of Surgeons, American Pediatric Surgical Association, Association for Surgical Education, Children's Oncology Group, Eastern Association for the Surgery of Trauma, International Pediatric Endosurgery Group, Society of American Gastrointestinal and Endoscopic Surgeons, Society of Laparoendoscopic Surgeons, and Southwestern Surgical Congress

Disclosure: Nothing to disclose.

References
  1. Fitzgerald RJ, Harding B, Ryan W. Fistula-in-ano in childhood: a congenital etiology. J Pediatr Surg. Feb 1985;20(1):80-1. [Medline].

  2. Parks AG. Pathogenesis and treatment of fistuila-in-ano. Br Med J. Feb 18 1961;5224:463-9. [Medline].

  3. Gupta PJ. Anal fistulotomy using radiowaves- long-term outcome. Acta Chir Iugosl. 2008;55(3):115-8. [Medline].

  4. Deshpande PJ, Pashak SN, Sharma BN, Singh LM. Treatment of fistula-in-ano by Kshara Sutra. Indian J Med Res. 1968;2:131-9.

  5. Novotny NM, Mann MJ, Rescorla FJ. Fistula in ano in infants: who recurs?. Pediatr Surg Int. Nov 2008;24(11):1197-9. [Medline].

  6. Bennett RC. A review of the results of orthodox treatment for anal fistulae. Proc R Soc Med. Sep 1962;55:756-7. [Medline].

  7. Deshpande PJ, Sharma KR, Sharma SK, Singh LM. Ambulatory treatment of fistula in ano: results in 400 cases. Indian J Surg. 1975;37:85-9.

  8. Hermann G, Desfosses L. Fistula in ano in childhood: A congenital etiology. Acad Sci. 1990;1301, 1880.

  9. Mishra BS. Bhavamishra's Bhave Prakash (Hindi). Vol 2. 3rd ed. Varanasi, India: Chowkhamba Sanskrit Series Office; 1961:66.

  10. Nadkarni AK. Nadkarni's Indian Materia Medica. Vol 1. 2nd ed. Panwel, India: Dhoorapapeshwar Prakashan Ltd; 1954:524.

  11. Stephens FD, Donnellan WL. "H-type" urethroanal fistula. J Pediatr Surg. Feb 1977;12(1):95-102. [Medline].

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Types of anal fistula in the standard classification: 1 = subcutaneous, 2 = submucous, 3 = low anal, 4 = high anal, and 5 = pelvirectal.
 
 
 
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