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- Yongping Hong, Yonggang Qiu, and Guofeng Li.
- Department of Anorectal Surgery, The First People's Hospital of Xiaoshan District, Hangzhou, Zhejiang, P.R. China.
- Medicine (Baltimore). 2023 Mar 17; 102 (11): e33264e33264.
IntroductionAnal fistula is a common perianal disease, but primary complex anal fistulas with 7 external openings is extremely rare.Patient ConcernsWe report a case of a 36-year-old man with a 10-year history of recurrent pus flow from paranal mass.DiagnosisPrimary complex anal fistula.InterventionsThe patient underwent fistulotomy plus seton, which we successfully completed with the aid of 3-dimensional (3D) reconstruction model created from magnetic resonance imaging (MRI).OutcomesThe wound healed well and there was no recurrence 8 months after surgery.ConclusionIn the treatment of complex anal fistula, the combined application of 3D MRI model will be beneficial to obtain better surgical results.Copyright © 2023 the Author(s). Published by Wolters Kluwer Health, Inc.
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