14 September 2025
: Case report 
Management of Complex Anal Fistula in Recurrent Perianal Abscess: A Case Report
Unusual clinical course, Challenging differential diagnosis, Unusual or unexpected effect of treatment, Diagnostic / therapeutic accidents
Mingzi Zhang BEF 1, Wei Wang B 2, Yijun Xia BC 1, Huaqing Zhang CD 3, Yue Du CD 4, Zhi Wang AD 1*, Xiao Long AD 1DOI: 10.12659/AJCR.948682
Am J Case Rep 2025; 26:e948682
Video 1 CT images before the first surgery. Encapsulated fluid and gas collections are present in the lower rectum, anal canal, and right paracervical region. Fluid accumulations are noted in the perineal and paracoccygeal areas, with scant honeycomb-like aerated densities. No significant contrast extravasation is observed surrounding the colorectum. Circumferential enlargement of the right thigh is evident, accompanied by subcutaneous edema in the right gluteal region and proximal thigh.