Horseshoe intersphincteric abscess with fistula

Case contributed by Utkarsh Kabra
Diagnosis almost certain

Presentation

Perianal pain and discharge.

Patient Data

Age: 40 years
Gender: Male

Intersphincteric horseshoe abscess measuring approximately 13 mm in maximum thickness, extending from about 10 - 3 o’clock position and approximately 24 mm superior to anal verge. 

It is seen to compress and bulge into the internal anal sphincter at right posterolateral aspect with a possible internal opening at approximately 10 o’clock position. 

A linear tract, measuring about 13 mm in length is seen arising from this collection at approx. 6 o’clock position. It courses anteriorly, superiorly and laterally along the internal anal sphincter with internal opening at  3 o’clock position. Mild inferior extension of this tract is also seen along the internal sphincter for approx. 4 mm. 

Edema and hyperintensity is seen with intersphincteric plane and along the internal sphincter. 

Case Discussion

Findings consistent with a horseshoe intersphincteric abscess and fistula.

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