Supralevator Extrasphincteric Fistula-in-Ano are Rare as Supralevator Extension is Almost Always in the Intersphincteric Plane

Supralevator Extrasphincteric Fistula-in-Ano are Rare as Supralevator Extension is Almost Always... World J Surg (2017) 41:2409–2410 DOI 10.1007/s00268-017-3970-2 LETTE R T O T HE EDI T OR Supralevator Extrasphincteric Fistula-in-Ano are Rare as Supralevator Extension is Almost Always in the Intersphincteric Plane Pankaj Garg Published online: 6 March 2017 Socie ´te ´ Internationale de Chirurgie 2017 Dear editor, abscesses (which are extremely rare) have been given three I read with interest the article by Ortega et al. [1]. The out of four categories of supralevator anorectal abscess clas- article reviews the anatomy and pathophysiology of sification (type II, III and IV) in the published article [1], and anorectal suppuration in a lucid manner. However, there all other supralevator abscesses (which are far more common) are few points which merit discussion. have been clubbed in a single category (type I). The supralevator anorectal abscess has been classified in Secondly, the authors have given impression that CT scan four categories out of which type II, III, and IV are extras- is better suited for anorectal abscess and fistula-in-ano imag- phincteric supralevator abscesses. Extrasphincteric fistu- ing than MRI and EUS [1]. This is quite contrary to the current las and abscesses are extremely rare these days [2]. The evidence in literature. MRI, closely http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png World Journal of Surgery Springer Journals

Supralevator Extrasphincteric Fistula-in-Ano are Rare as Supralevator Extension is Almost Always in the Intersphincteric Plane

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Publisher
Springer International Publishing
Copyright
Copyright © 2017 by Société Internationale de Chirurgie
Subject
Medicine & Public Health; Surgery; Abdominal Surgery; Cardiac Surgery; General Surgery; Thoracic Surgery; Vascular Surgery
ISSN
0364-2313
eISSN
1432-2323
D.O.I.
10.1007/s00268-017-3970-2
Publisher site
See Article on Publisher Site

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