Perianal fistula

Case contributed by Dr Bahman Rasuli

Presentation

Peri-anal discharge and recurrent infection.

Patient Data

Age: 30 years
Gender: Male
MRI

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.

Case Discussion

Grade I low-type intersphincteric perianal fistula without evidence of the perianal abscess.

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Case information

rID: 63274
Published: 22nd Sep 2018
Last edited: 23rd Sep 2018
Inclusion in quiz mode: Included
Institution: Jame Jam Imaging Center

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