A male with Large Ischiorectal Abscess

A male aged 55 years Chief Complaints Pain B/L Hip region High Grade Fever(on/off) Physical Examination On examination, a large defect seen in perianal region... Diagnosis What should be initial line of approach

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It seems post operative perianal abscess Likely operated by some quake as big tunnel with size of removal of piece suggest not done by any expert Anal region shows sentinel piles Now need detail L/E by expert need to subject surgical intervention