Parole chiave
cryptitis
anoscopy
anus
anal
treatment
Abstract
Introduction: Crypts are small anatomical structures situated between the anal papillae, which they do not causing any symptoms unless they become inflamed. Cryptitis is a localized infection of one or more of the anal crypts.
Case presentation: A 42-year-old woman presented to our practice, complaining intermittently of anal pain and pruritus ani over a span of 1 year. She was referred multiple times to various surgeons, and she was treated conservatively for anal fissure without any evident improvement. The referred symptoms were increased often after defecation. Under general anesthesia, a hooked fistula probe was introduced into the inflamed anal crypt and the whole length of the crypt was layed open.
Conclusion: Anal cryptitis is a misdiagnosed condition. The unspecific symptomatology of the disease can easily mislead. The clinical suspicion is fundamental for the diagnosis. Patient’s history, digital examination, and anoscopy are essential for the diagnosis of anal cryptitis.