Perianal fistula - intersphincteric

Case contributed by Bahman Rasuli
Diagnosis certain

Presentation

Perianal discharge.

Patient Data

Age: 55 years
Gender: Female

A 45 mm thin-walled tract starts superficially at the right perianal region and courses superiorly between internal and external anal sphincters to open into the anal canal at 11 o’clock orientation

No abscess formation.

Case Discussion

Grade I low-type intersphincteric perianal fistula without evidence of the perianal abscess.

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