Fistula In

An anal fistula is an abnormal tract that connects the anal canal with the skin and is lined with epithelium and granulation tissue. A fistula in ano most commonly results from a perianal or ischiorectal abscess (Fig 78-4). It may, however, be associated with ulcerative colitis, Crohn's disease, or tuberculosis. Although anterior-opening fistulas tend to follow a simple, direct course to the anal canal (Goodsall rule), posterior-opening fistulas may follow a devious, curving path, including some that are horseshoe-shaped.

Dealing With Back Pain

Dealing With Back Pain

Deal With Your Pain, Lead A Wonderful Life An Live Like A 'Normal' Person. Before I really start telling you anything about me or finding out anything about you, I want you to know that I sympathize with you. Not only is it one of the most painful experiences to have backpain. Not only is it the number one excuse for employees not coming into work. But perhaps just as significantly, it is something that I suffered from for years.

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