A 21 year old male who received anti-TB therapy for ileal stricture and later underwent right hemi-colectomy (operative biopsy showed Crohn’s disease) - was on Azathioprine.
Now he developed peri-anal fistula.
After incision and drainage there is persistent fistula discharge.
Colonoscopy showed rectal ulcers with mild luminal narrowing, Trnas-rectal USG/MRI showed trans-sphincteric fistula with small (1x 1 cm) abscess.
EUA+ seton followed by infliximab
EUA plus infliximab