Abstract
The objective of this case presentation is to describe a rare case of fistula-in-ano at an episiotomy site and review the importance of magnetic resonance imaging as a diagnostic tool for the detection of perineal fistulas.
Highlights
Fistula-in-ano associated with episiotomy site is a rare condition, which needs to be suspected when a female patient presents with chronic perineal drainage
We discuss a case of missed postpartum fistula-in-ano and we highlight the importance of Magnetic resonance imaging (MRI) as a golden tool in perianal fistula diagnosis
We report a case of missed fistula-in-ano complicating episiotomy, where MRI was the diagnostic tool
Summary
Fistula-in-ano associated with episiotomy site is a rare condition, which needs to be suspected when a female patient presents with chronic perineal drainage. Magnetic resonance imaging (MRI) is an emerging tool in diagnosing and providing accurate information about the perianal fistula, which allows surgeons to choose the most appropriate surgical procedure. In this case presentation, we discuss a case of missed postpartum fistula-in-ano and we highlight the importance of MRI as a golden tool in perianal fistula diagnosis. We discuss a case of missed postpartum fistula-in-ano and we highlight the importance of MRI as a golden tool in perianal fistula diagnosis The patient in this case had no underlying health issues, presented with chronic perianal suppuration and pain, complicated with an abscess. The patient reported minor incontinence to gas 2 years after surgical procedures
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