Open AccessComplex microsurgical perineal reconstruction after resection of a giant verrucous carcinoma associated with anal fistulas in Crohn’s disease—a unique case report
Author(s) -
Denis Ehrl,
Markus Rentsch,
Nicholas Moellhoff,
Nikolaus Wachtel
Publication year - 2020
Publication title -
international journal of colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.831
H-Index - 88
eISSN - 1432-1262
pISSN - 0179-1958
DOI - 10.1007/s00384-020-03569-z
Subject(s) - medicine , perineum , surgery , verrucous carcinoma , colostomy , rectum , surgical oncology , fistula , crohn's disease , carcinoma , disease
Crohn's disease (CD) is a chronic inflammatory disorder which leads to anorectal fistulas. In rare cases, patients develop anal squamous cell carcinoma (ASCC) within these lesions. There is limited literature regarding ASCC in patients with CD. Here, we report on a unique case of advanced verrucous carcinoma (VC), a rare variant of squamous cell carcinoma, developing on the grounds of extensive chronic anorectal fistulas in CD.