{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:40:07Z","timestamp":1770338407010,"version":"3.49.0"},"reference-count":11,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2016,12,27]]},"abstract":"<jats:p>Anoscrotal fistula is an extremely rare condition involving an epithelialised tract between the anal canal and scrotal wall. It is more commonly seen as a congenital phenomenon in the paediatric population, and has not previously been described in the literature in adults. We present the case of a man aged 52 years who developed a complex anoscrotal fistula after a radical inguinal orchidectomy for an intratesticular seminoma. A postsurgical wound-site infection developed into a chronically discharging wound refractory to antibiotic treatment prompting further investigation. By way of MRI, a 10\u2005cm long trans-sphincteric anoscrotal fistula was found. The patient was successfully treated by fistuloscopic curettage, internal closure using an Ovesco clip, and negative pressure dressing. We present for the first time a rare anoscrotal fistula in an adult.<\/jats:p>","DOI":"10.1136\/bcr-2016-218078","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T15:21:13Z","timestamp":1484061673000},"page":"bcr2016218078","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Unexpected complication after radical (inguinal) orchidectomy: trans-sphincteric anoscrotal fistula"],"prefix":"10.1136","volume":"2017","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1209-3561","authenticated-orcid":false,"given":"Amit","family":"Patel","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chris","family":"Gillespie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony J","family":"Kiosoglous","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,1,10]]},"reference":[{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.1","doi-asserted-by":"publisher","DOI":"10.1007\/BF02553848"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jviscsurg.2010.07.007"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2011.08.015"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.4","doi-asserted-by":"crossref","unstructured":"Jacob TJ , Perakath B , Keighley MR . Surgical intervention for anorectal fistula. Cochrane Database Syst Rev 2010;(5):CD006319. doi:10.1002\/14651858.CD006319.pub2","DOI":"10.1002\/14651858.CD006319.pub2"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.5","doi-asserted-by":"crossref","first-page":"241","DOI":"10.1007\/s10151-015-1284-7","article-title":"The OTSC \u00d2 proctology clip system for the closure of refractory anal fistulas","volume":"19","author":"Senninger","year":"2015","journal-title":"Tech Coloproctol"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.6","doi-asserted-by":"publisher","DOI":"10.1111\/codi.12762"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.7","doi-asserted-by":"crossref","first-page":"621","DOI":"10.1007\/s00384-015-2146-5","article-title":"Easy clip to treat anal fistula tracts: a word of caution","volume":"30","author":"Gautier","year":"2015","journal-title":"Int J Colorectal Dis"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.8","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2015-009884"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.9","doi-asserted-by":"crossref","first-page":"533","DOI":"10.1097\/DCR.0000000000000352","article-title":"Long-term follow-up after surgery for simple and complex cryptoglandular fistulas: fecal incontinence and impact on quality of life","volume":"58","author":"Visscher","year":"2015","journal-title":"Dis Colon Rectum"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.10","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1111\/j.1463-1318.2006.01036.x","article-title":"Late results of treatment of anal fistulas","volume":"9","author":"Sygut","year":"2006","journal-title":"Colorectal Dis"},{"key":"2025042702231229000_2017.jan10_2.bcr2016218078.11","doi-asserted-by":"crossref","first-page":"173","DOI":"10.1007\/s10151-014-1247-4","article-title":"\u2018Sandwich technique\u2019 with bridging, a modification of negative pressure wound therapy for anal fistulas","volume":"19","author":"Banasiewicz","year":"2015","journal-title":"Tech Coloproctol"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2016-218078","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T09:23:26Z","timestamp":1745745806000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2016-218078"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,10]]},"references-count":11,"alternative-id":["10.1136\/bcr-2016-218078"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2016-218078","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,10]]}}}