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Had an pus & fluid leakage
Can anyone help me in understanding this report. As doctor said I have to undergo surgery only & its fistula whereas in mri it's mentioned that no fistula tract found.
Thanks
Swapnil Garg
Answers (4)
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Going for a surgical drainage prevents complications like abscess formation pus discharge pain and fistula formation
Next Steps
Consult General surgeon for examination
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U can try with antibiotics and conservative approach if symptoms reduced and collection reduced then no need of surgery.
If clinically pus discharge present
Or having fever and elevated blood counts then need surgery.
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Dr. Manu Maheendran
General Surgeon
13 yrs exp
Kottayam
Hello 🙏
I understand your confusion.
Your MRI shows a peri-anal abscess (pus collection) but no formed fistula tract yet. This is actually a good stage, because a fistula has not developed.
Even when MRI says “no fistula,” surgery may still be required because pus does not resolve fully with medicines alone. If it is not drained, it can persist or later turn into a fistula.
That is why your doctor has advised incision and drainage, not fistula surgery.
No muscle involvement mentioned is a positive sign, and early drainage usually heals well with sitz baths and local care.
Delaying treatment can increase future fistula risk.
Please follow your surgeon’s advice.
Wishing you a smooth recovery.
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Dr. Anisha Mettu
General Surgeon
6 yrs exp
Guntur
From the history mentioned in the Mri report, it seems you have a peri anal abscess. Though the Mri report suggests that there is no fistula tract, it shows there is fluid collection. That needs to be drained promptly. Otherwise there are high chances that it will develop into fistula in future. It is good that muscle planes are not involved now. A simple incision drainage if done now, the wound will heal by itself with post-drainage hygeine maintenance with sitz bath and medications.
Next Steps
general surgeon consultation and plan for drainage (based on the clinical examination)
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.