Anorectal Fistula

Question 1

What is the pertinent anatomy of an anal fistula?

Answer 1

Anus and Rectum
The majority of anorectal fistulas originate from an infected anal crypt gland

Question 2

In crohn disease how are fistulas formed?

Answer 2

penetrating inflammation rather than infection of a perianal gland

Question 3

What are the symptoms of an anorectal fistula?

Answer 3

nonhealing anorectal abcess following drainage
chronic purulent drainage and a putsule like lesion in the perianal or buttock area
intermittecnt rectal pain, particularly during defecation, but also with sitting, i
intermittent and malodoours perianal drainage and pruritus

Question 4

How do you treat anorectal fistulas?

Answer 4

required higher echelon care
stabilize and prepare for MEDEVAC