Back to RegistryChief Complaint Recurrent perianal discharge with external opening Duration of Symptoms 3 weeks Diagnosis Trans-sphincteric Anal Fistula
Planned Treatment Fistulotomy
AS
Ashok Sharma
Under Follow-upPT-10327MRD/2025/596050 yrs · Male+91 91599 44257Kozhikode
Blood Group
O+
BMI
20.0
Surgeon
Dr. Farida Sheikh
Surgery Date
16 Jun 2026
Patient Information
- Full Name
- Ashok Sharma
- Age / Gender
- 50 yrs · Male
- Contact
- +91 91599 44257
- MRD Number
- MRD/2025/5960
- Blood Group
- O+
- City
- Kozhikode
- Admission Date
- 14 Jun 2026
- Anaesthesia
- Local
- BMI
- 20.0
Clinical Findings
Symptoms
Perianal painPerianal dischargeSkin excoriation
Past Medical History
No significant historyIschemic heart diseaseSmoker
Investigations
| Test | Result | Status |
|---|---|---|
| Complete Blood Count | Hb 14.1 g/dL | Normal |
| MRI Pelvis / Fistulogram | Trans-sphincteric tract noted | Abnormal |
| Proctoscopy | Chronic fissure | Abnormal |
| Histopathology | Benign, no malignancy | Pending |
Surgery Details
- Procedure
- Fistulotomy
- Surgeon
- Dr. Farida Sheikh
- Anaesthesia
- Local
- Duration
- 48 min
- Blood Loss
- 108 ml
- Date
- 16 Jun 2026
Operative Note
Trans-sphincteric tract laid open (fistulotomy) with curettage.Post Operative Notes
Uneventful post-operative course. Ambulated same day. Pain controlled with oral analgesics.
Follow Up History
- 29 Jun 2026Pain score: 8/10Recovery: On trackMedication: Diclofenac SR
Continue sitz baths
Diagnosis & Treatment
Primary Diagnosis
Trans-sphincteric Anal Fistula
Anal Fistula
Next visit: 28 Jul 2026
Complications
No complications recorded — uneventful recovery.
Attached Images
Pre-op Photo
MRI Scan
Histopath
Post-op Photo
Sample attachments · demo placeholders