Anal fistulogram

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A fistulogram uses a form of real-time x-ray called fluoroscopy and a barium-based contrast material to produce images of an abnormal passage within the body called a fistula. Similarly, a sinogram assesses an abnormal passage called a sinus that originates or ends in one opening, often on the skin. Diagnosis is by examination, either in an outpatient setting or under anaesthesia (referred to as eua or examination under anaesthesia). The fistula may be explored by using a fistula probe (a narrow instrument). Diagnosis may be aided by performing a fistulogram, proctoscopy andor sigmoidoscopy. An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it.   the anatomical anal canal extends from the perineal skin to the linea dentata. Surgically, the anal canal extends from the perineal skin to the anorectal ring. This is the circular upper border of the puborectal muscle which is digitally palpable upon rectal examination. The anorectal ring lies approximately 1-1,5 cm above the linea dentata. Perianal fistula (or fistula-in-ano) (plural fistulae or fistulas) is the presence of a fistulous tract acrossbetweenadjacent to the anal sphincters and is usually an inflammatory condition 4. The anal canal is a cylindrical structure surrounded by two muscular layers, the internal and external sphincters. The internal sphincter is composed of smooth muscle, the fibers of which are continuous with the circular smooth muscle of the rectum (). This sphincter contracts involuntarily and is responsible for 85 of the resting tone of the anal canal. Fistulogram (fisch-l-gram) fistula -gram a radiographical image of any abnormal tunnel found on the surface or inside the body. Images of fluids injected into the fistula reveal the dimensions of the fistula and show the organs in which it originates and ends. They are thought to be a result of anal gland obstruction, with secondary abscess formation and external rupture of the abscess.

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