case_images: PMC2892652_01
case_images: The pelvic MRI of the patient demonstrating the suprasphincteric fistula in ano with abscess formation (arrows).
case_images: CRM2010-189846.001.jpg
case_images: PMC2892652_01_CRM2010-189846.001.jpg
case_images: fig1
case_images: Pelvic magnetic resonance imaging (MRI) performed in a different medical center eight months prior to his admission demonstrated an abscess cavity, measuring 2 cm in diameter, located superior to the levator ani muscle and its tract of 10 cm coursing from its internal opening in the rectum down to the perianal region (Figure 1).
case_images: Intraoperative view of the external openings of the fistula in ano (arrow-heads) and the upper part of the tract where the foreign material resided (arrow). The extracted nonabsorbable braided thread is shown in the inlet figure.
case_images: CRM2010-189846.002.jpg
case_images: PMC2892652_01_CRM2010-189846.002.jpg
case_images: fig2
case_images: A nonabsorbable braided thread of 5 cm in length and 6 mm in thickness was extracted (Figure 2).
case_images: Postoperative view.
case_images: CRM2010-189846.003.jpg
case_images: PMC2892652_01_CRM2010-189846.003.jpg
case_images: fig3
case_images: After partial excision and curretage of the tract, a penrose drain was placed and the wound was closed with interrupted simple absorbable sutures (Figure 3).