Finding the missing link between perineal abscess and anal fistula recurrence

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Finding the missing link between perineal abscess and anal fistula recurrence

Jonathan Bentley

Jonathan Bentley

Not all diagnoses come neatly gift-wrapped like when teaching first-year students at the hospital
Not all diagnoses come neatly gift-wrapped like when teaching first-year students at the hospital

GP Jonathan Bentley discusses a patient with a recurrent perineal abscess. Twenty years ago, there had been a clue to the underlying cause, but the connection is only made now with further investigations by a multidisciplinary team

Key Points, When there is a genital abscess, consider an underlying anal fistula, with MRI being the investigation of choice. When there is recurrence of an ana, Pract Green w Pale Yellow