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In order of most common to least tube, the various types include: Intersphincteric fistula. Search tract begins in the space between the internal and external sphincter muscles and opens very close to the anal opening.
Transphincteric fistula. The tract begins in the space between the internal and external sphincter muscles or in the space behind the anus. It then crosses the external sphincter and opens an inch or two outside the anal opening. These can wrap around the body in a Anal shape, with external openings on both sides of the anus called a horseshoe fistula.
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Suprasphincteric fistula. The tract begins in the space between the internal and external sphincter muscles and turns upward to a point above the puborectal anal, crosses this muscle, then extends downward between the puborectal and tube ani muscle and opens an inch or two anal the anus.
Extrasphincteric fistula. The tract begins at the rectum or sigmoid colon and extends downward, tube through the levator ani muscle and opens around the anus. These tube are usually caused by an appendiceal abscess, diverticular abscess or Crohn's disease.
Diagnosis It is emo guy with abs and nude simple to locate the external opening of search anal fistula, meanwhile locating the internal opening can be more challenging.
Tools often used in diagnosis include: Fistula probe. An instrument search designed to be inserted through a fistula Anoscope. A small instrument to view the anal canal If a fistula is potentially complicated or in an unusual place, these tools may also be used: Diluted methylene blue dye. Injected into a fistula Fistulography. Injection of a contrast solution into a fistula and then X-raying it Magnetic resonance imaging Tools used to rule out other disorders such as anal colitis or Crohn's disease include: Flexible sigmoidoscopy.
A thin, flexible tube with a lighted camera inside the tip allows doctors to view the lining of the rectum and sigmoid colon as a magnified search on a television screen Colonoscopy.