A case report of primary complex anal fistula with 7 external openings treated with combined preoperative 3D MRI model. Issue 11 (17th March 2023)

• Record Type: Journal Article
• Authors: Hong, Yongping; Qiu, Yonggang; Li, Guofeng
• Is Part Of: Medicine. Volume 102:Issue 11(2023)
• Page Start: e33264
• Publication Date: 2023-03-17
• Subjects: 3-dimensional -- fistula -- imaging -- magnetic resonance imaging; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000033264
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract : Introduction: Anal fistula is a common perianal disease, but primary complex anal fistulas with 7 external openings is extremely rare. Patient concerns: We report a case of a 36-year-old man with a 10-year history of recurrent pus flow from paranal mass. Diagnosis: Primary complex anal fistula. Interventions: The patient underwent fistulotomy plus seton, which we successfully completed with the aid of 3-dimensional (3D) reconstruction model created from magnetic resonance imaging (MRI). Outcomes: The wound healed well and there was no recurrence 8 months after surgery. Conclusion: In the treatment of complex anal fistula, the combined application of 3D MRI model will be beneficial to obtain better surgical results.