case_images: PMC11828477_01
case_images: First patient with a complex rectovaginal fistula.. The closed external orifice is marked with a blue arrow, and the second external orifice (vaginal) is marked with a white arrow. The internal orifice at the 12 o'clock position is not visible in the image.
case_images: cureus-0017-00000077495-i01.jpg
case_images: PMC11828477_01_cureus-0017-00000077495-i01.jpg
case_images: FIG1
case_images: Her preoperative Wexner score was 10 (Figure 1).
case_images: PMC11828477_02
case_images: Second patient with a high transphincteric fistula.. (a) Preoperative view; (b) Postoperative view
case_images: cureus-0017-00000077495-i02.jpg
case_images: PMC11828477_02_cureus-0017-00000077495-i02.jpg
case_images: FIG2
case_images: His Wexner score before surgery was 5 (Figure 2).
case_images: PMC11828477_03
case_images: Third patient presenting with a perianal horseshoe fistula and an abscess.. Magnetic resonance imaging findings:. (a) Axial T2-weighted image. (b) Coronal T2-weighted image. (c) Axial fat-suppressed T2-weighted image. (d) Contrast-enhanced fat-suppressed T1-weighted axial image. (e) Contrast-enhanced fat-suppressed T1-weighted coronal image showing rim enhancement. (f) Fat-suppressed T1-weighted coronal image
case_images: cureus-0017-00000077495-i03.jpg
case_images: PMC11828477_03_cureus-0017-00000077495-i03.jpg
case_images: FIG3
case_images: His preoperative Wexner score was 4 (Figure 3).
case_images: PMC11828477_04
case_images: Fourth patient with perianal Crohn's disease.. (a) Preoperative view; (b) Postoperative view
case_images: cureus-0017-00000077495-i04.jpg
case_images: PMC11828477_04_cureus-0017-00000077495-i04.jpg
case_images: FIG4
case_images: Her Wexner score prior to surgery was 3 (Figure 4).