Perianal fistula: high trans-sphincteric

Discussion:

Controversy in the diagnosis of this case between "Suprasphincteric" & "High Trans-sphincteric" fistula,

It's usually difficult radiologically to differentiate suprasphincteric fistula from a high transsphincteric fistula. In any event, there is little difference in practical terms because surgical management is similar.

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