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- Anal Gland/Duct Cyst: A Case Report
- Guh Jung Seo, Ju Heon Seo, Kyung Jin Cho, Hyung-Suk Cho
- Ann Coloproctol. 2020;36(3):204-206. Published online January 20, 2020
- DOI: https://doi.org/10.3393/ac.2018.09.06.1
- 24,039 View
- 153 Download
- 2 Web of Science
- 2 Citations
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Abstract
PDF - Anal gland/duct cyst (AGC) is rare and observed in only 0.05% of patients undergoing anal surgery. AGC is thought to be a retention cyst in the anal gland and arises when an obstruction of the anal duct causes fluid collection in the anal gland. We report a case of AGC in a 66-year-old woman without anal symptoms. Found by colonoscopy, the AGC was excised transanally. The histopathology of the specimen confirmed AGC. Colonoscopists should include AGC in the differential diagnosis of anal canal mass and rule out of malignancy. Excision is recommended for definitive diagnosis and treatment.
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Citations
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- Managing Deep Postanal Space Sepsis via an Intersphincteric Approach: Our Early Experience
- Ker-Kan Tan, Dean C. Koh, Charles B. Tsang
- Ann Coloproctol. 2013;29(2):55-59. Published online April 30, 2013
- DOI: https://doi.org/10.3393/ac.2013.29.2.55
- 5,352 View
- 81 Download
- 16 Citations
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Abstract
PDF
Purpose Managing deep postanal (DPA) sepsis often involves multiple procedures over a long time. An intersphincteric approach allows adequate drainage to be performed while tackling the primary pathology at the same sitting. The aim of our study was to evaluate this novel technique in managing DPA sepsis.
Methods A retrospective review of all patients who underwent this intersphincteric technique in managing DPA sepsis from February 2008 to October 2010 was performed. All surgeries were performed by the same surgeon.
Results Seventeen patients with a median age of 43 years (range, 32 to 71 years) and comprised of 94.1% (n = 16) males formed the study group. In all patients, an internal opening in the posterior midline with a tract leading to the deep postanal space was identified. This intersphincteric approach operation was adopted as the primary procedure in 12 patients (70.6%) and was successful in 11 (91.7%). In the only failure, the sepsis recurred, and a successful advancement flap procedure was eventually performed. Five other patients (29.4%) underwent this same procedure as a secondary procedure after an initial drainage operation. Only one was successful. In the remaining four patients, one had a recurrent abscess that required drainage while the other three patients had a tract between the internal opening and the intersphincteric incision. They subsequently underwent a drainage procedure with seton insertion and advancement flap procedures.
Conclusion Managing DPA space sepsis via an intersphincteric approach is successful in 70.6% of patients. This single-staged technique allows for effective drainage of the sepsis and removal of the primary pathology in the intersphincteric space.
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Citations
Citations to this article as recorded by- Deep Postanal Abscess With Sacrococcygeal Osteomyelitis: A Case Report
Javid Ahmadov, Mustafa Anil Turhan, Ender Erguder, Sezai Leventoğlu, Bulent Mentes
Cureus.2025;[Epub] CrossRef - Is Primary Opening of Fistula-in-Ano Always at Dentate Line: Correlation Between MRI and Operative Findings in 379 Patients
Pankaj Garg, Gabriele Naldini, Vincent De Parades, Petr Tsarkov, Vipul Yagnik, Kaushik Bhattacharya, Baljit Kaur, G Mahak
Clinical and Experimental Gastroenterology.2025; Volume 18: 121. CrossRef - Process to determine the level of the primary internal opening of anal fistula on magnetic resonance imaging
Pankaj Garg, Baljit Kaur, G. Mahak
Annals of Coloproctology.2025; 41(3): 253. CrossRef - Identifying landmark factors of anal fistulas through predictive modelling for adverse surgical outcomes: a retrospective cohort study
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Anna Kata, Jonathan S. Abelson
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Advances in Clinical Medicine.2023; 13(01): 180. CrossRef - A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations
Christianna Oikonomou, Periklis Alepas, Stelios Gavriil, Dimitrios Kalliouris, Konstantinos Manesis, Petros Bouboulis, Dimitrios Filippou, Panagiotis Skandalakis
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S. Stelzner, T. Wedel
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Pankaj Garg
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Pankaj Garg
International Journal of Surgery.2017; 40: 130. CrossRef - Clinical Significance of 2 Deep Posterior Perianal Spaces to Complex Cryptoglandular Fistulas
Heng Zhang, Zhi-yang Zhou, Bang Hu, De-chao Liu, Hui Peng, Shang-kui Xie, Dan Su, Dong-lin Ren
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J. Graham Williams
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A. Ommer, A. Herold, E. Berg, St. Farke, A. Fürst, F. Hetzer, A. Köhler, S. Post, R. Ruppert, M. Sailer, T. Schiedeck, O. Schwandner, B. Strittmatter, B. H. Lenhard, W. Bader, S. Krege, H. Krammer, E. Stange
coloproctology.2016; 38(6): 378. CrossRef - Behandlung kryptoglandulärer, supralevatorischer Abszesse im MRT-Zeitalter: eine Fallserie
A. Furtwängler
coloproctology.2015; 37(3): 214. CrossRef - Modern management of deep post-anal space abscess and horseshoe fistulas
Reuben D. Shin, Jason F. Hall
Seminars in Colon and Rectal Surgery.2014; 25(4): 210. CrossRef
- Deep Postanal Abscess With Sacrococcygeal Osteomyelitis: A Case Report
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