Table 1.
Review of case reports in literature
| Reference | Williams et al. (1993)3 |
| Age (years) | 25 |
| Sex | M |
| Presentation | Perineal discharge and sinuses. Previous panproctocolectomy 5 years before |
| Symptom duration (years) | 5 |
| Initial management | Prednisolone, azathioprine, dapsone, antibiotics, hyperbaric oxygen failed |
| Treatment | Extensive surgical debridement |
| Outcome | At 1 year, few sinuses remain but healed well |
| Reference | Williams et al. (1993)3 |
| Age (years) | 50 |
| Sex | M |
| Presentation | Chronic perineal discharge from sinuses |
| Symptom duration (years) | 3–4 |
| Initial management | Proctectomy failed |
| Treatment | Extensive debridement and split skin graft |
| Outcome | Healed with no sepsis 16 months later |
| Reference | Williams et al. (1993)3 |
| Age (years) | 54 |
| Sex | M |
| Presentation | Chronic perineal sinus |
| Symptom duration (years) | 26 |
| Initial management | Conservative debridement of sinuses but sepsis continued. Azathioprine/cyclosporin failed |
| Treatment | Debridement and split skin graft 3 years post-presentation |
| Outcome | Good – minimal discharge 10 months later |
| Reference | Williams et al. (1993)3 |
| Age (years) | 48 |
| Sex | F |
| Presentation | Perineal discharge. Panproctocolectomy and ileostomy for Crohn's disease 13 years before |
| Symptom duration (years) | 5 |
| Initial management | Cyclosporin/metronidazole initial improvement then failed |
| Treatment | Extensive debridement down to deep fascia. Closure – secondary intention |
| Outcome | Complete healing 1 year later |
| Reference | Williams et al. (1993)3 |
| Age (years) | 23 |
| Sex | F |
| Presentation | Peri-anal Crohn's disease – subtotal colectomy and ileostomy. Developed peri-anal discharge |
| Symptom duration (years) | 7 |
| Initial management | Steroids, azathioprine, metronidazole and mercaptopurine |
| Treatment | Extensive perineal and vaginal excision with reconstruction flap |
| Outcome | Good results at 6 months |
| Reference | Sangueza and Davis(1997)4 |
| Age (years) | 24 |
| Sex | N |
| Presentation | Perineal ulceration. Past history of perirectal abscess (4 years previously) |
| Symptom duration (years) | 1 |
| Initial management | Prednisolone |
| Treatment | Prednisolone – no surgical management needed |
| Outcome | Good |
| Reference | This case |
| Age (years) | 36 |
| Sex | M |
| Presentation | Perineal sepsis. Previous panproctocolectomy 18 years ago |
| Symptom duration (years) | 1 |
| Initial management | |
| Treatment | Extensive surgical debridement |
| Outcome | Good |