Picture of an anal fissur

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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. There was no obvious underlying cause, such as inflammatory bowel disease or diabetes. Following drainage, the abscess cavity required regular dressing but healed well.
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Hemorrhoids and Anal Fissures: A Short Photo Essay

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Anal fissure - Symptoms and causes - Mayo Clinic

External hemorrhoids cause severe throbbing pain of sudden onset. Internal lesions are associated with bleeding, protrusion, fecal soiling, and pruritus. External hemorrhoids a single lesion is shown here are found below the dentate line the division between squamous epithelium distally and transitional columnar epithelium proximally and so are covered by skin. Patients experience significant pain when external hemorrhoids are dilated and thrombosed-conditions that stretch the overlying skin. Click here for the next image.
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Clinical pictures: Perianal problems

An anal fissure is a small tear in the thin, moist tissue mucosa that lines the anus. An anal fissure may occur when you pass hard or large stools during a bowel movement. Anal fissures typically cause pain and bleeding with bowel movements.
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