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An anal fistula is a elflike tunnel that develops between the end of the bowel and the skin close the anus (where poo leaves the body). They're normally the resolution of an contagion nigh the arse causing a petition of pus (abscess) in the nearby tissue. once the pus drains away, it can leave a small channel behind.
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Anal fistula - Your.MD

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Perianal fistula | Radiology Reference Article |

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The well-nigh commonly accepted pathophysiology is the cryptoglandular hypothesis, which posits that physiological state of the in depth submucosal glands results in infection and abscess shaping in the intersphincteric space, which accordingly drains inferiorly 'tween the sphincters, opening onto the skin bound or, less commonly, erodes through some the home and external sphincters into the ischiorectal space, then onto the life surface . Trans-sphincteric fistulae are second hand to ischiorectal abscesses, with a end point enlargement of the geographic area through the external sphincter. Intersphincteric fistulae are due to perianal abscesses.
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