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Anal fistula in infants

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Added: 25.02.2021
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Anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract anus. Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to the anus. The fistula then forms a tunnel under the skin and connects with the infected gland.
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Subcutaneous fistula in infancy: a different diagnosis of a perianal discharging nodule

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Anal fistula in infants: etiology, features, management

Definition: While children with imperforate or obviously mislocated anus are identified in the newborn period, some children with a very mild abnormality may escape identification until after the newborn period. This mild mislocation of the anus has been termed anterior ectopic anus. Anterior ectopic anus is different from imperforate anus with perineal fistula in that the anal opening is usually of normal size, and only mildly misplaced. Most of these children come to medical attention due to severe constipation that is associated with the disorder. Surgery to relocate the anterior anus is simple, but does not change the fact that these children often have life-long problems with constipation independent of the actual anal location. Late diagnosis is often a source of frustration for families who feel that the constipation was due to failure to recognize the mislocated anus in the newborn period. Based on experience with other low anorectal abnormalities, the degree of constipation is independent of the age at diagnosis and correction.
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5 Common Reasons for Anal Fistula in Men

Perianal abscess and anal fistula are 2 common anorectal diseases in infants and young children. However, their causes, clinical diagnosis, and treatment remain controversial. Compared to adults, infants with these 2 diseases exhibit unique clinical characteristics. Blind pursuit of conservative treatment or surgery may worsen the condition, resulting in increased pain in young patients and greater economic burden and psychological harm to parents. Therefore, it is crucial to select correct and effective treatments.
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