Shalyaja Bhagandara (Fistula in ano due to Foreign body) -A Rare Case

Abstract

Abstract

According to Ayurveda with special reference to Sushruta Samhita there are five types of Bhagandara (Fistula in ano). Amongst which Unmargi Bhagandara or Shalyaja Bhagandara is described. These types of fistula in ano develop due to a foreign body. There are few reported cases where in Fistula in ano developed due to foreign body lodged in perianal area such as an ingested (bone), a forgotten surgical material, etc.  A 43 year male patient came with complaint of intermittent pus discharge and pain around anal verge since 1 year. On examination an external opening was seen at 1 o’clock position which was found connected radially to the internal opening at 1 o’clock. (Fig. 1) So, Fistulotomy and Ksharkarma (Cauterisation) was advised. During surgery two pieces of stones were found. (Fig 2, Fig 3). The stones were extracted and the post operative wound healed completely within 15 days. (Fig 4)