Massive anal condyloma lata following lung transplantation due to cystic fibrosis: successful treatment with circular hemorrhoidectomy with mucosal bridges.

Abstract

This case report presents the treatment of a 36-year-old male patient with massive anal condyloma lata following lung transplantation due to cystic fibrosis. The patient, under long-term immunosuppressive therapy, developed extensive wart-like lesions around the anal canal. A modified circular hemorrhoidectomy with mucosal bridges was performed to excise the affected tissue while preserving functional integrity. The surgery, conducted under general anesthesia, successfully removed all lesions without complications. Postoperatively, the patient experienced no pain, bleeding, incontinence, or recurrence during follow-up. The preservation of mucosal bridges helped prevent common complications such as anal stenosis and mucosal ectropion. Histology confirmed the diagnosis of condyloma lata. This case underscores the effectiveness of circular hemorrhoidectomy, particularly in patients with circular anal canal lesions, and highlights the role of mucosal bridges in minimizing postoperative complications while ensuring complete lesion excision. This technique should be considered in similar cases of extensive anal lesions.