case_images: PMC10246597_01
case_images: Clinical examination prior to radio-chemotherapy (A) showing previous peri-anal ulcerative lesions with persistent left abscess, and after radio-chemotherapy (B) showing a healed scar from a fistulous path at the left inferior quadrant.
case_images: acc-10-10245-g001.jpg
case_images: PMC10246597_01_acc-10-10245-g001.jpg
case_images: f1
case_images: Clinical examination assessed a healed scar from a fistulous path at the left inferior quadrant (Figure 1.A). Latter clinical examination assessed scars of previous peri-anal ulcerative lesions and peri-anal fistulae, and painful digital rectal exam with persistent left abscess (Figure 1.B).
case_images: Transversal (A) and sagittal (A) view of the second pelvic MRI showing discreet hemi circumferential focal anal thickening, persistent perianal abscess, and persistent complex anal fistula attaining the inter-sphincter space.
case_images: acc-10-10245-g002.jpg
case_images: PMC10246597_01_acc-10-10245-g002.jpg
case_images: f2
case_images: The second pelvic MRI showed discreet hemi circumferential focal anal thickening, persistent though reduced perianal abscess, and persistent complex anal fistula attaining the inter-sphincter space (Figure 2).
case_images: Perineal wound healing at follow-up.
case_images: acc-10-10245-g003.jpg
case_images: PMC10246597_01_acc-10-10245-g003.jpg
case_images: f3
case_images: On long-term evaluation at 6 months, the patient reported absence of symptoms with weight gain with satisfactory wound healing (Figure 3).