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Perianal fistula picture

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    This year-old man presented with a very painful infection. There was a large abscess which was easily palpable with surrounding cellulitis. It clearly needed incision so he was admitted for this to be done under general anaesthetic. There was no obvious underlying cause, such as inflammatory bowel disease or diabetes.
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    Clinical pictures: Perianal problems

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    Anorectal fistula | University of Iowa Hospitals & Clinics

    An anorectal or anal fistula is an abnormal, infected, tunnel-like passageway that forms from an infected anal gland. Sometimes an anal fistula works its way from an internal gland to the outside of the skin surrounding the anus. On the skin, this looks like an open boil. Usually the condition starts with an anal abscess, filled with pus. Even with treatment to drain the abscess, a persistent tunnel can develop between the infected area and the surface of the skin.
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    Anal Fistula

    Learn about our expanded patient care options and visitor guidelines. Most anal fistulas form in reaction to an anal gland that has developed a pus-filled infection abscess. Even if your abscess drains on its own, you have about the same risk for a fistula. Certain conditions that affect your lower digestive tract or anal area may also increase your risk. These include:.
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    The anatomical anal canal extends from the perineal skin to the linea dentata. Surgically, the anal canal extends from the perineal skin to the anorectal ring. This is the circular upper border of the puborectal muscle which is digitally palpable upon rectal examination. The anorectal ring lies approximately ,5 cm above the linea dentata.
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