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fistula-in-ano (anorectal fistula)
Etiology:
- chronic anorectal infection
- inflammatory bowel disease
Clinical manifestations:
- chronic purulent drainage
- cyclical pain associated with abscess reaccumulation
- intermittent spontaneous decompression
Management:
- surgical consulation
- see Crohn's disease for treatment of perirectal fistula & & perirectal abscess in oatients with Crohn's disease
General
rectal fistula
anorectal disease
References
- Whiteford MH, Kilkenny J 3rd, Hyman N, Buie WD, Cohen J,
Orsay C, Dunn G, Perry WB, Ellis CN, Rakinic J, Gregorcyk S,
Shellito P, Nelson R, Tjandra JJ, Newstead G; The Standards
Practice Task Force; The American Society of Colon and
Rectal Surgeons.
Practice parameters for the treatment of perianal abscess and
fistula-in-ano (revised).
Dis Colon Rectum. 2005 Jul;48(7):1337-42.
PMID: 15933794
http://www.fascrs.org/associations/1843/files/pp_0705.pdf