Perianal fistula (grade V)

Case contributed by Dr Varun Babu

Presentation

Recurrent fistula in ano twice treated with no relief.

Patient Data

Age: 50 years
Gender: Male
Modality: MRI

Right ischioanal abscess with two large tracks extending in the intersphincteric plane in a horseshoe pattern from 2 to 11 o clock position extending supralevator and lying perirectal. Diffuse accompanying perianal subcutaneous edema. 

Case Discussion

This patient could barely sit and clearly repeated episodes of treatment have not been good enough to solve his recurring problem. Long standing recurrent fistulae result in abscess formation, that eventually spreads, in this case extending supralevator into a horseshoe pocket around rectum. 

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Case Information

rID: 52328
Case created: 3rd Apr 2017
Last edited: 4th Apr 2017
Inclusion in quiz mode: Included

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