Very complex and difficult case. Recurrent anal fistulas.Imaging: Endoscopic ultrasound + pelvic MRITherapy:Placement of a seton (a cord that is passed through the path of the fistul a to keep it open for draining) and antibiotic treatment with Ciprobay, Clont and Azathioprine (2mg/kgKG/d), then watch and wait