Anal fissure is a tear in the anoderm distal to the dentate line. It can be categorized as acute or chronic. Acute fissures present with anal
Chronic posterior anal fissure with a distal sentinel piletag and a proximal hypertrophic anal papilla at the level of the dentate line. C, Superficial anal fissure visualized easily with manual retraction of perianal tissues.
GI Rectal Pain hemorrhoids, anal fissures. STUDY. PLAY. laceration found on exam at the posterior anal midline. How does an acute anal fissure look different from a chronic anal fissure? acute fresh appearing (paper cutlike)chronic hypertrophic edges with white horizontal fibers.
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