Photograph of anal fissure

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This year-old man presented with a very painful infection. There was a large abscess which was easily palpable with surrounding cellulitis. It clearly needed incision so he was admitted for this to be done under general anaesthetic.

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The anal canal is a short tube surrounded by muscle at the end of your rectum. The rectum is the bottom section of your colon large intestine. An anal fissure also called fissure-in-ano is a small rip or tear in the lining of the anal canal.

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We present the case of a year-old woman who attended a surgical outpatient clinic with symptoms of perianal fissure due to syphilitic infection. This uncommon aetiology of a common condition is often alluded to in textbooks, but little information exists in the scientific literature regarding the pathogenesis, presentation and treatment of fissure-in-ano secondary to syphilis. We present the case and an overview of the topic aimed at surgeons and clinicians who manage patients with perianal pathology.

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Anal fissure fissure-in-ano is a very common anorectal condition. The exact etiology of this condition is debated; however, there is a clear association with elevated internal anal sphincter pressures. Though hard bowel movements are implicated in fissure etiology, they are not universally present in patients with anal fissures. Half of all patients with fissures heal with nonoperative management such as high fiber diet, sitz baths, and pharmacological agents.

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Anal fissures are tiny tears in the skin around the anus and can be painful. They usually develop as a side effect of constipation. Constipation is the condition where a person passes faeces poo less frequently than usual and the poo is harder, drier and painful to pass.

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Anal cancer is a type of cancer that forms in tissues of the anus. The anus is the opening of the rectum to the outside of the body and at the end of the GI tract. Sometimes anal cancer causes no symptoms at all.

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Looking for design inspiration? Browse our curated collections! Anal Fissures is a photograph by Dr P.

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An anal fissure is a tear in the lining of the lower rectum anal canal that causes pain during bowel movements. Anal fissures don't lead to more serious problems. Most anal fissures heal with home treatment after a few days or weeks.

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Anal cancer is relatively rare. In this article, we shall look at the risk factors, clinical features and management of anal cancer. Rarer anal tumours include melanomas and anal skin cancers. Anal intraepithelial neoplasia AIN may precede the development of invasive squamous anal carcinoma, and can affect either the perianal skin or anal canal.

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