Perianal fistula - inter-sphincteric type

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Known case of perianal fistula.

Patient Data

Age: 55 years
Gender: Female

A 44 mm thick-walled tract starts at the right perianal region and courses upwards between internal and external anal sphincters to open into the anal canal at 6 o’clock orientation.

Ovarian cyst measuring about 35*40 mm is present in the left side.

Intramural myomas and subserosal myoma also are seen within the uterine parenchyma.

Case Discussion

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

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