Perianal fistula: complex

Case contributed by Marina Goymer

Presentation

History of complex anal fistula not resolving

Patient Data

Gender: Male
Modality: MRI

Tract extends superiorly within the ischioanal fat on the left side, involving the puborectalis muscle.  At the level of the anal sphincter at 3 c'clock there is a further tract which penetrates the external sphincter and and extends toward the 6 c'clock position.

Acquired on 1.5T Toshiba Titan.

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Case Information

rID: 24762
Case created: 11th Sep 2013
Last edited: 4th Apr 2017
Inclusion in quiz mode: Included

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