I suddenly developed an abscess with a fistula last December. I do not have inflammatory bowel disease. It took 4 admissions to hospital and 7 ER visits to get the little devil under control. I still have one that is constantly there and I will deal with it when I get back from my beach holiday!
My surgeon has no idea why I have developed this problem. I do know that when I take care of myself (good diet, enough sleep, control stress) things get a little bit better.