Perianal fistula (intersphincteric with intersphincteric abscess)

Case contributed by Dr Mohammad A. ElBeialy


Perianal pain and discharge of pus.

Patient Data

Age: 45 years
Gender: Female

Left perianal intersphincteric fistulous tract is seen coursing between the internal and external anal sphincters with its anal mucosal opening at 5 O'clock position about 5 cm from the perianal skin.  An intersphincteric perianal horse-shoe marginally enhancing cystic lesion about 2.5 X 1.5 cm is seen with mild perianal inflammatory changes, the perianal abscess has two anal mucosal openings at 3 and 9 o’clock position.  

Intact pelvic floor muscles. Intact ischio-anal as well as ischio-rectal fossae on either side.  

Case Discussion

Grade II left perianal intersphincteric fistula tract with perianal abscess

PlayAdd to Share

Case information

rID: 38593
Published: 19th Sep 2015
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.