Post-burn Inguinoperineal Contracture With Intercrural Adhesion: A Case Report.

Post‑burn inguinoperineal contractures are rare but can lead to severe functional impairment, anatomical distortion, and significant psychosocial burden when not treated promptly. We report the case of a 25‑year‑old woman with a nine‑year‑old inguinoperineal burn initially managed with traditional methods and without specialized medical care. She presented with a severe contracture and extensive intercrural adhesion that markedly limited thigh abduction and distorted the external genital anatomy, while the remainder of her physical examination was unremarkable. Surgical management consisted of complete excision of the fibrotic tissue, full release of the contracture, sharp division of the intercrural adhesion, and anatomical reconstruction of the inguinal folds, followed by tension‑free direct closure. Standard perioperative antibiotic prophylaxis was administered due to the inguinoperineal location and extent of the procedure, with no infectious complications observed. The postoperative course was uneventful, with appropriate healing at the seven‑day evaluation and progressive suture removal on postoperative days 12 and 14. Subsequent follow‑up at six weeks and three months demonstrated normal scar evolution, absence of dehiscence, retraction, or recurrent contracture, and stable preservation of the functional range of motion achieved after surgery. This case highlights that even long‑standing post‑burn contractures can be effectively corrected through complete surgical release and tailored anatomical reconstruction, and that direct closure may represent a safe and feasible option in settings where advanced reconstructive techniques are not available.