Perianal Hidradenitis Supprativa

7 year history of florid perianal scarring, discharge of pus and pain. Patient was unable to sit, maintain hygiene and required daily dressings to the area.

Initially thought to have Crohn’s disease. MRI revealed complex fistulating perianal disease with secondary sinuses and distortion of anal canal.

Diagnosed with extensive perianal hidradenitis supprativa.

Underwent excision of all diseased skin and reconstruction with posterior artery perforator pedicled flaps. The distal aspect of the left flap required further skin grafting.

Patient is now pain-free, able to sit comfortably and does not require daily dressings.

Before surgery