Guidelines to diagnose and treat peri-levator high-5 anal fistulas: Supralevator, suprasphincteric, extrasphincteric, high outersphincteric, and high intrarectal fistulas

Figure 11  A 33-year-old female patient with a roof of ischiorectal fossa inside the levator ani muscle fistula on left side at 5 o’clock and internal opening at 6 o’clock position. A: Coronal section showing roof of ischiorectal fossa inside the levator ani muscle (RIFIL) fistula (yellow arrow) (schematic diagram); B: Axial section (schematic diagram); C: T2-weighted magnetic resonance imaging (MRI) Coronal section showing RIFIL fistula tract; D: T2-weighted MRI Axial section; E: Sketch of MRI Coronal section highlighting RIFIL fistula tract (light green color); F: Sketch of MRI Axial section highlighting fistula tract (light green color).