Clinical Case 20060914 - General overview

Patient: Male, 48 years old.
Clinical symptoms: light anal irritation and discharge of bloody drain 10 days ago.
Clinical inspection of the anus, and endorectal ultrasonography were performed.
An introduction of contrast agent was done, as a method to enhance fistula.

Abbreviations: EAI: Internal anal sphincter; EAE: External anal sphincter.

Diagnosis: transphincteric fistula.

The tract begins one and a half centimetre outside the anal opening and crosses the external sphincter muscle, the space between the internal and external muscle (images 1-2), and finally it opens into the anal canal (video 1). The fistula track on the left lower quadrant can be seen.

Treatment

Treatment: fistulectomy with and advancement rectal flap to cover the anal canal opening of the track were performed.