“…Out of the documented regions in which this disease is known to exist (perianal, intersphincteric, ischiorectal, submucosal and supralevator) [1] supralevator abscesses account for only 3–4% of total disease incidence [2, 3]. Risk factors for the development of abscesses in this location include male gender, obesity, diabetes, immunodeficiency, malignancy, foreign bodies, tuberculosis, trauma and inflammatory bowel disease [3–6].…”