case_images: PMC4724757_01
case_images: A) Preoperative aspect of the lesion (16 x 12 cm). B) Preoperative MRI: Suspect infiltration.
case_images: IPRS-05-07-g-001.jpg
case_images: PMC4724757_01_IPRS-05-07-g-001.jpg
case_images: F1
case_images: At time of presentation in our clinic the size of the condylomata acuminata amounted 16 x 12 cm (Figure 1A (Fig. 1)). The MRI revealed a possible infiltration of the musculus ani externus (Figure 1B (Fig. 1)).
case_images: A) Situation prior the en bloc resection of the condylomata acuminate. The mucosa of the musculus sphincter ani externus is armed by sutures. B) Specimen after resection.
case_images: IPRS-05-07-g-002.jpg
case_images: PMC4724757_01_IPRS-05-07-g-002.jpg
case_images: F2
case_images: Subsequently, the giant condylomata acuminata tumor was resected in toto including the resection of the external parts of the musculus sphincter ani externus (Figure 2 (Fig. 2)).
case_images: After resection, the mucosa of the musculus ani externus was fixed by circular sutures into the edge of the skin.
case_images: IPRS-05-07-g-003.jpg
case_images: PMC4724757_01_IPRS-05-07-g-003.jpg
case_images: F3
case_images: The mucosa of the anus was fixed by circular sutures (Figure 3 (Fig. 3)).
case_images: The large skin defect was closed by two gluteus flap.
case_images: IPRS-05-07-g-004.jpg
case_images: PMC4724757_01_IPRS-05-07-g-004.jpg
case_images: F4
case_images: Finally, the mucosa of the anus was adapted to the skin of the gluteus flaps (Figure 4 (Fig. 4)).
case_images: Postoperative result 6 months after the resection. The patient had a normal sphincter function. Aspect of the perianal region in prone position.
case_images: IPRS-05-07-g-005.jpg
case_images: PMC4724757_01_IPRS-05-07-g-005.jpg
case_images: F5
case_images: Fortunately, the patient did not experience any defecations problems and did not develop recurrence of condylomata acuminata up to date (Figure 5 (Fig. 5)).