A 34-Year-Old Man With a Traumatic Penetrating Injury of the Buttock and Occult Retained Foreign Body Resulting in a High Anal Fistula Managed by Trans-Sphincteric Surgery

Xianbao Liu; Weigan Lin; Minhui Ke; Xianmin Gao; Ruoxuan Shi

doi:10.12659/AJCR.950448

26 January 2026 : Case report China

A 34-Year-Old Man With a Traumatic Penetrating Injury of the Buttock and Occult Retained Foreign Body Resulting in a High Anal Fistula Managed by Trans-Sphincteric Surgery

Unusual clinical course, Challenging differential diagnosis, Diagnostic / therapeutic accidents, Management of emergency care

Xianbao Liu^{ABCDEFG 1*}, Weigan Lin^{CEF 2}, Minhui Ke^{A 1}, Xianmin Gao^{A 1}, Ruoxuan Shi^{BCD 1}

DOI: 10.12659/AJCR.950448

Am J Case Rep 2026; 27:e950448

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Figure 4 Photograph of the foreign bodies removed intraoperatively (November 2023). Five bramble fragments are shown, with lengths ranging from 1.5 cm to 3 cm. The brambles had irregular edges and were partially surrounded by granulation tissue, which confirmed their role as the chronic inflammatory focus leading to formation of the high anal fistula.

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A 34-Year-Old Man With a Traumatic Penetrating Injury of the Buttock and Occult Retained Foreign Body Resulting in a High Anal Fistula Managed by Trans-Sphincteric Surgery

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