Suprasphincteric perianal fistula

Case contributed by Ahmed Abdrabou
Diagnosis almost certain

Presentation

Recurrent perianal pain and yellowish discharge

Patient Data

Age: 45 years
Gender: Male
This study is a stack
Axial
T1
This study is a stack
Axial
T2
This study is a stack
Coronal
T2
This study is a stack
Sagittal
T2
This study is a stack
Coronal
STIR
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Info

Posterior midline fistulous tract seen at 6 o'clock position and ascending in the intersphincteric plane. It penetrates the right levator ani muscle at the 8 o'clock position. A small abscess collection is seen at the 7 o'clock position.

Case Discussion

Grade V supralevator fistula with small abscess.

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