Fistula in Ano Flashcards
1
Q
what is it
A
abnormal epithelial connection between anal canal and perianal skin
2
Q
what is cause
A
there is opening in anal canal and one or more external openings on peri-anal skin
also rarely by crohn’s disease, TB and carcinoma
3
Q
what is symptoms
A
abscess formation
4
Q
how is it diagnosed
A
EUA or anorectum (exam under anaesthetic)
rigid sigmoidoscopy, proctoscopy
flexible sigmoidoscopy
MRI
5
Q
how is it treated
A
cut it open seton stitch (draining, cutting) LIFT procedure Glue/permacol Defunctioning colostomy (insertion of stoma)
6
Q
what are the complications
A
pain, bleeding, incontinence of flatus or stool, recurrence, further surgery
