Transsphincteric perianal fistula


Recurrent perianal pain and discharge

Patient Data

Age: 21 years
Gender: Female

Left perianal transsphincteric fistulous tract about 4 cm long and arising from 1 o'clock. The fistula can be seen as a T2-hyperintense fluid tract briefly ascending and then curving medially through the external and internal anal sphincters. The tract extends into the ischioanal fossa and decompresses at the skin surface. 

Case Discussion

According to St. James University Hospital MR classification system, this is a Grade III left perianal transsphincteric fistulous tract with inflammatory changes of the left ischioanal fossa1.

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Case information

rID: 60961
Published: 11th Jun 2018
Last edited: 12th Jun 2018
Inclusion in quiz mode: Included

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