Peri-anal discharge and recurrent infection.
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A 22 mm thin-walled tract starts superficially at the right perianal region and courses superiorly between internal and external anal sphincters to open into the anal canal at 9 o’clock orientation.
Another 25 mm thin-walled tract starts at the perianal region in the midline position and courses upwards between internal and external anal sphincters to open into the anal canal at 6 o’clock orientation.
No abcess formation is seen.