case_images: PMC4264308_01
case_images: External opening of fistula at scrotum during inspection
case_images: ASL-33-182-g001.jpg
case_images: PMC4264308_01_ASL-33-182-g001.jpg
case_images: F1
case_images: On local examination, there were two visible external openings on the scrotum anteriorly on median raffe [Figure 1].
case_images: Fistulogram antero-posterior view
case_images: ASL-33-182-g002.jpg
case_images: PMC4264308_01_ASL-33-182-g002.jpg
case_images: F2
case_images: The antero-posterior [Figure 2] and lateral view of fistulogram[Figure 3] showed that the internal opening was at 12'O clock position with involvement of few fibers of external sphincters.
case_images: Fistulogram lateral view
case_images: ASL-33-182-g003.jpg
case_images: PMC4264308_01_ASL-33-182-g003.jpg
case_images: F3
case_images: The antero-posterior [Figure 2] and lateral view of fistulogram[Figure 3] showed that the internal opening was at 12'O clock position with involvement of few fibers of external sphincters.
case_images: During ksharasutra ligation
case_images: ASL-33-182-g004.jpg
case_images: PMC4264308_01_ASL-33-182-g004.jpg
case_images: F4
case_images: The internal opening was dissected and widened to drain completely (cryptoglandular), and ksarasutra was tied [Figure 4].
case_images: After treatment
case_images: ASL-33-182-g005.jpg
case_images: PMC4264308_01_ASL-33-182-g005.jpg
case_images: F5
case_images: Next visit it was observed that the whole tracts had healed completely with minimal scar [Figure 5].