An open communication between anal canal and perirectal skin
Anorectal fistulas typically form from an abscess of the anal crypt glands.
In patients with perianal Crohn disease, perire...
Perianal pain, pruritus, purulent (often malodorous) perianal drainage, and perirectal skin lesions
Intermittent rectal pain worse with defecation/sitting
Fever most common with abscess...
Surgical treatment is definitive (1)[A].
Optimal surgical treatment is based on fistula classification.
Goals of treatment are to eliminate the inflammatory process, maintain c...
Cirocchi R, Farinella E, La Mura F, et al. Fibrin glue in the treatment of anal fistula: a systematic review. Ann Surg Innov Res. 2009;3:12. [View Abstract on OvidMedline]
K60.5 Anorectal fistula
K60.3 Anal fistula
K60.4 Rectal fistula
72779005 Anorectal fistula
197155003 intersphincteric fistula (disorder)
261827001 high anal fistula ...
Suspect anorectal fistula in patients with perianal pain, pruritus, purulent drainage, and perirectal skin lesions.
Surgery is the traditional mainstay of treatment for patients who do ...
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