PMC10246597_01
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.
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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).
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.
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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).
Perineal wound healing at follow-up.
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On long-term evaluation at 6 months, the patient reported absence of symptoms with weight gain with satisfactory wound healing (Figure 3).