Perianal fistula

Case contributed by Dr Naqibullah Foladi

Presentation

Perianal discharge for three months

Patient Data

Age: 25 years
Gender: Female
MRI

A long fistulous tract at the right side of the perianal region piercing the internal sphincter at 7 o`clock with the surrounding inflammatory region. The tract shows mild restriction on diffusion-weighted imaging. No abscess formation or side branches.

Case Discussion

Features are of intersphincteric fistula with the track extending into the right medial thigh soft tissues.

Additional contributor: Dr. Sahar Maroof

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