Perianal pain - Few days. On examination - perianal fistula. P/H/O surgery for perianal fistula - 13 yrs back.
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A skin opening is noted at 3 o'clock.
A tract is seen extending to anal canal for about 4 - 5 cm length.
Its communication with anal canal is noted at 6 o'clock.
Distance from anal opening is about 2 cm.
No abscess is noted.
No other tract is noted.
Surgery - Transsphincteric perianal fistula.