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Anal fistual description

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Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract anus. Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to the anus. The fistula then forms a tunnel under the skin and connects with the infected gland. Explore Mayo Clinic studies testing new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition. Anal fistula care at Mayo Clinic.
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Perianal Fistula

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Anal fistula - NHS

The majority are associated with anorectal abscess formation, with one third of patients with an anorectal abscess having an associated perianal fistula at the time of presentation. The formation of an perianal fistula typically occurs as a consequence of an perianal abscess. However, other risk factors for their formation include:. Anal fistulae usually present with either 1 recurrent perianal abcesses 2 intermittent or continuous discharge onto the perineum , including mucus, blood, pus, or faeces. Figure 1 — The Goodsall rule, used clinically to predict the course of a fistula tract. Proctoscopy can be used to visualise the opening of the tract in the anal canal. For complex fistula, MRI imaging is often required to visualise the anatomy of the tract.
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Anal Fistula

Going to a Cleveland Clinic location? Symptoms include pain and swelling around the anus. Diagnosis and treatment are discussed. Appointments An anal fistula is a small tunnel that connects an abscess, an infected cavity in the anus, to an opening on the skin around the anus.
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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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