Anovaginal fistula

Case contributed by Dr Bruno Di Muzio

Presentation

Perianal pain.

Patient Data

Age: 50 years
Gender: Female
MRI

MRI Pelvis

There is an irregular T2 bright transphincteric fistulous tract communicating the mid and upper portions of the anal canal at 12 o'clock to the distal aspect of the posterior inferior vaginal wall, just above the transverse perineal muscles. The surrounding inflammatory changes do not show soft tissue collections.

The distal portions of the rectum have unremarkable appearances for this protocol.

 

Case Discussion

This case illustrates a fistulous tract between the anal canal and distal posterior wall of the vagina consistent with an anovaginal fistula.

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Case information

rID: 62887
Published: 25th Sep 2018
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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