An anal fissure (fissureinano) is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids.
Anal Surgery and Colon and Rectal Surgery Eli b h J M C ll MD FACS FASCRSElizabeth J. McConnell MD FACS FASCRS Fistulotomy with Biopsy of fistula track open orFistulotomy with Biopsy of fistula track open or (fissure), other sphincteric Anal Fistula Classification A Subcutaneous B Intersphincteric C Low Transsphincteric
In 90 of cases anal fissures occur in the midline posteriorly Nonhealing fissure or one not located in midline suggests alternative diagnosis Clinical Findings
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