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A 30-year-old woman with a history of perianal Crohn’s disease has had a seton in place for transsphincteric fistula for the past 2 months. She is also taking infliximab for medical management of her Crohn’s disease with no active proctitis seen on recent endoscopy. Ultrasonography shows 50% involvement of the sphincter complex with no undrained abscess or high blind tracts. What is the most appropriate management approach for her fistula?
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Citation
"" ASCRS Question Bank, ASCRS U, www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717134/all/Benign_Disease. Accessed 21 April 2026.
ASCRS Question Bank. https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717134/all/Benign_Disease. Accessed April 21, 2026.
In ASCRS Question Bank https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717134/all/Benign_Disease
[Internet]. In: ASCRS Question Bank. [cited 2026 April 21]. Available from: https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717134/all/Benign_Disease.
* Article titles in AMA citation format should be in sentence-case
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T1 -
ID - 3717134
BT - ASCRS Question Bank
UR - https://www.ascrsu.com/ascrs/view/ASCRS-Question-Bank/3717134/all/Benign_Disease
DB - ASCRS U
DP - Unbound Medicine
ER -
ASCRS Question Bank

