Anal picture (photos)

We do agree with Dr. Hendren remarks [] that such cases (which are described in this report) represent the mild end of the spectrum of anorectal anomalies. Although the mechanism of corrective surgery may not be fully understood [, ], most cases responded well to posterior/cutback anoplasty through the external anal sphincter (posterior external sphincterotomy) [,,]. This condition should be distinguished from another different category of patients with intractable constipation due to internal anal sphincter achalasia []. The latter group has a different clinical picture (normally located anus) and can be diagnosed by anal manometry. Also, they have different imaging findings: thickening of their internal anal sphincter via ultrasound or MRI [, , ]. The treatment is different, which includes either internal sphincter myectomy above the dentate line via trans-anal approach or botox injection [].

If you’re experiencing any of the signs of an anal fistula that I’ve just mentioned it’s a good idea to seek medical attention for a proper diagnosis.An anal fistula can often be diagnosed through a physical examination and your doctor may also use additional tests like an anoscope ultrasound or MRI to get a clearer picture of the fistula’s size and location.