Presentation
Previous anal fissures, now recurrent pain
Patient Data
Age: 45 years
Gender: Female
From the case:
Normal pelvic MRI (fistula protocol)
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Sagittal T1
No perianal fistula, sinus tract or collection. No subcutaneous edema. The internal and external sphincters and the pelvic floor are unremarkable. No gross adnexal mass, although this is not a dedicated study. Retroflexed uterus, with a 1.8 cm myometrial/subserosal lesion on the ventral surface has been partially imaged, likely a fibroid.
No pelvic free fluid.
Conclusion
Incidental uterine lesion likely fibroid, partially imaged. No other abnormality demonstrated.
Case Discussion
Example of a normal perianal fistula case.
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