A complex coexistence of pilonidal disease and an anal fistula in an
HIV/AIDS patient
Abstract
Anal fistula and pilonidal disease may coexist in the same patient and
may even be connected as in this case with an anal carcinoma- in situ
(Bowen’s disease) in an immunodepressed patient. It is difficult to tell
if the malignancy arose from the chronic pilonidal disease or
vice-versa.