# Unveiling the Hidden: Successful Surgical Management of a Rare Case of Chronic Perineal Sinus Tract

## TL;DR

A rare chronic perineal sinus tract was successfully treated with surgery after failing medical treatments.

## Contribution

This case report highlights successful surgical excision as a treatment for a chronic perineal sinus tract.

## Key findings

- A 26-year-old female had a chronic non-healing perineal sinus tract for seven years.
- MRI showed a curvilinear tract with fibrotic changes, not connected to the anal canal or vagina.
- Surgical excision with primary closure led to successful resolution of the condition.

## Abstract

Sinus tracts are rare in the perineal region, and they present as chronic non-healing sinus tracts. This is a case report that aims to showcase the surgical management of a chronic sinus tract. A 26-year-old female presented with a history of a non-healing sinus tract below the right vulva for the last seven years. There was no significant improvement despite medical management. A curvilinear sinus tract with fibrotic changes in the right perineal region with no communication with the anal canal or vagina was seen in the MRI. Embarrassment and hesitation to seek early surgical help result in infection, formation of abscess, scarring, and perineal disfigurement. Understanding the disease's etiology, clinical presentation, and treatment options for this condition is important for effective treatment. A successful outcome was obtained when surgical excision of the sinus tract with primary closure was done. This case discusses the importance of surgical intervention in a chronic perineal sinus tract refractory to medical management.