Perianal fistula

Case contributed by Maulik S Patel
Diagnosis possible

Presentation

Perianal pain for a few days. On examination - perianal fistula. Previous history of surgery for perianal fistula 13 years previously.

Patient Data

Gender: Male
ultrasound
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Info

A skin opening is noted at 3 o'clock.

A tract is seen extending to anal canal for about 4 - 5 cm length.

Its communication with anal canal is noted at 6 o'clock.

Distance from anal opening is about 2 cm.

No abscess is noted.

No other tract is noted. 

Case Discussion

A trans-sphincteric perianal fistula was demonstrated at time of surgery.

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