# Treading the unusual path: a rare case of fistula-in-ano extending up to thigh

## TL;DR

This paper presents a rare case of a fistula-in-ano that extended to the thigh and was successfully treated with multiple methods.

## Contribution

The novelty lies in describing a unique and rare fistula-in-ano case extending to the mid-thigh.

## Key findings

- The fistula-in-ano extended posteriorly to the mid-thigh, making it a rare and complex case.
- The condition was successfully treated using multiple modalities and secondary healing.

## Abstract

The perianal region is typically the site of a fistula-in-ano tract’s opening, though this is not always the case. Complex fistulas are therefore very difficult to treat and frequently the cause of recurrence. This article describes a unique fistula-in-ano that extended posteriorly to the mid-thigh and was successfully treated with multiple modalities and secondary healing.