Life for Ahmed (name changed), a 39-year-old health inspector from Somaliland in Africa was full of pain and suffering. He had multiple fistulae-in-ano (six high and low fistulae) that resulted in recurrent health issues and compromised quality of life over a prolonged period.
The patient had a history of diabetes and suffered from recurring perianal abscesses over the past year. Although he had been operated on in his hometown by surgeons, there was no permanent relief. He was referred to Ramakrishna Super Speciality Hospital at Jayanagar where a team of medical professionals successfully treated his chronic multiple fistulae-in-ano.
Following diagnosis, which involved performing a Transrectal ultrasound and MRI fistulogram to assess the extent of the fistulae, a limited colonoscopy was also carried out to eliminate the possibility of inflammatory bowel disease and tuberculosis.
