Recurrent Perineal Abscesses Arising from a Congenital Isolated Perineal Canal Mimicking Crohn's Disease: A 22‑Year Diagnostic Odyssey
Authors/Creators
- 1. Department of Pediatrics and Pediatric Surgery, Postgraduate Institute of Child Health & Research and KT Children Govt University Teaching Hospital, Rajkot, Gujarat, India
- 2. Lincoln University College, 2, Jalan Stadium, SS7/15 SS7. 47301 Petaling Jaya, Selangor, Malaysia
- 3. Formerly Head, Department of Surgery at Tata Memorial Hospital, Mumbai, India
- 4. J. Watumull Global Hospital & Research Centre, Delwara Road, Mount Abu, Rajasthan, India
Description
Abstract
A 40‑year‑old man presented with recurrent perineal abscesses originating from a congenital isolated perineal canal extending from the anterior aspect of the anal canal to the base of the scrotum. Since the age of 18, he experienced 3‑4 episodes of painful perineal swelling requiring incision and drainage. The chronicity and midline perineal involvement raised repeated concerns for underlying Crohn’s disease. However, serial MRI pelvis studies, colonoscopic evaluations, and histology from the mucosa‑lined tract consistently showed no evidence of inflammatory bowel disease. This case highlights a rare congenital anomaly that can closely simulate perianal Crohn’s disease, leading to diagnostic uncertainty and repeated interventions over decades.
Files
wjms.2026.b1908.pdf
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Additional details
Identifiers
Dates
- Submitted
-
2026-01-17
- Accepted
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2026-02-17
- Available
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2026-02-19