Perianal fistula - fistulogram

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Purulent perianal discharge.

Patient Data

Age: 35 years
Gender: Male
Fluoroscopy

Contrast fistulogram was performed by administering about 40 cc of contrast through a feeding tube introduced into the fistulous opening, external to the perianal opening at 12 o'clock to the anal canal. A longitudinal fistulous tract (frontal, lateral) communicates with the anal canal (frontal, lateral) causing opacification of the anal canal and rectum is demonstrated.

Case Discussion

Contrast fistulogram revealed a perianal fistula communicating with the anal canal and opacification of the rectum.

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