Perianal fistula - inter-sphincteric type

Case contributed by Bahman Rasuli
Diagnosis almost certain

Presentation

Chronic perianal discharge.

Patient Data

Age: 50 years
Gender: Male
This study is a stack
Axial
T2
This study is a stack
Axial T2
fat sat
This study is a stack
Axial
T1
This study is a stack
Sagittal
T2
This study is a stack
Coronal T2
fat sat
This study is a stack
Coronal
T1
This study is a stack
Coronal T1
C+ fat sat
This study is a stack
Axial T1
C+ fat sat
This study is a stack
Sagittal T1
C+ fat sat
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Info

A 42 mm thick-walled tract starts at the left perianal region and courses upwards between internal and external anal sphincters to open into the anal canal at 6 o’clock orientation.

No evidence of the perianal abscess is depicted.

Case Discussion

Imaging findings are compatible with grade I low-type intersphincteric perianal fistula without evidence of the perianal abscess.

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