Question 98 · LEK · Proctology

A young man came to the clinic. He noticed a periodic leaking of purulent content in the upper part of the gluteal cleft. There is a periodic pain in that area. The examination reveals several openings in the skin in the area, without any leakage. The most probably diagnosis is:

  1. A. perianal fistula.
  2. B. perianal abscess (in the phase without inflammation).
  3. C. anal fissure.
  4. D. cutaneous form of ulcerative colitis.
  5. E. pilonidal cyst.
Hint

Note the location: the upper natal cleft rather than the area around the anus, in a young man with several skin openings.

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