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2016 medical history - in 1686, louis xiv of france (1638 1715) the sun king developed a perianal abscess that after a series of failed treatment attempts, including with the use of a red-hot iron, developed into an anal fistula. Louis xiv (louis dieudonné 5 september 1638 1 september 1715), known as louis the great (louis le grand) or the sun king (le roi soleil), was king of france from until his death in 1715. His reign of 72 years and 110 days is the longest recorded of any monarch of a sovereign country in european history. In the age of absolutism in europe, louis xivs france was a leader in. Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. An anal fistula can be described as a narrow tunnel with its internal opening in the anal canal and its external opening in the skin near the anus. Anal fistulae commonly occur in people with a history of anal abscesses. Anal fistulas an anal fistula is an opening between the anal canal and external skin, typically in the perineal area. Prior to the 17th century, no one considered operating on anal fistulas. In 1686, the king started to have pain in a very delicate area. All the best doctors were called to versailles to investigate the kings derriere and he was diagnosed with a fistule anale (anal fistula) which was possibly caused by too much horseback riding. The doctors tried everything they knew to do, but the kings bottom still hurt. In early january of 1686, the king, then aged forty-seven, started to complain of a light pain in the rear area. After closer inspection of the royal rear end, the physicians in charge discovered a fistula in the foundation. The recorded history of anal fistulas dates back to the ancient greeks, but no fistula in history has been as well or interestingly documented as that of louis xiv, the sun king of france. His story illustrates not only the state (or lack thereof) of medicine at the time, but also the first recorded use of the fistulotomy. 1685 when the royal physicians discovered a swelling in the kings anal area. Louis xiv, who ruled france from 16381718 (yep, 72 years!) brought haute couture fashion to france and was also pretty much single-handedly responsible for making anal fistulas stylish. The french monarch was at the height of his reign in 1685 when his butthole started to hurt. King louis xiv (1638 1715) was at the height of his reign when, in 1685, his butt started to hurt. His royal physicians tried all kinds of treatments, endeavoring to shrink the swelling, but finally, after months of suffering on everyones part, they called for a surgeon.