Extrasphincteric anal fistula with gluteal extension: A case report and literature review

In the context of diagnosing and treating anal fistulas, it is crucial to abandon the notion that infection is limited to the perianal region. Utilizing advanced magnetic resonance imaging of the anal canal is essential for precise localization, while employing a combination of diagnostic examinations is warranted for accurate differential diagnosis. Postsurgical follow-up of anal fistula patients for a minimum of 1 year is advisable to monitor recurrence and address predisposing factors like constipation. In instances of uncommon variants, it is advisable to engage in multidisciplinary cooperation to synthesize insights from various specialties, thereby enhancing the scientific rigor of diagnostic and therapeutic approaches.