A 25-year-old woman comes to the office for evaluation of intermittent abdominal pain for the last several years. The pain is crampy without radiation, and the patient rates it as 6 on a scale of 0-10. She also has worsening fatigue and intermittent diarrhea but no blood in the stool. The patient has no nausea, vomiting, or constipation. Temperature is 37.2 C (99 F). On examination, the abdomen is tender, without guarding or rebound. There is a draining fistula near the coccyx. Which of the following is likely diagnosis in this patient?
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