Fistulas fistulae are abnormal connections between two epithelial surfaces. Epithelial surfaces are present in hollow structures such as blood vessels and organs and comprise the skin surface. In the gastrointestinal tract fistulas occur as connections from the intestines to other adjacent organs, other sections of the intestine or to the external skin surface. Fistulae often develop secondary to trauma, infection, surgical processes or from some underlying inflammatory disease process. Fistulas can cause leakage of pus and gastrointestinal contents to the outside of the body or to the connected organs through small sinuses.
Anal fistula is a chronic abnormal communication between the epithelialised surface of the anal canal and usually the perianal skin. They can form when anal abscesses do not heal properly. Anal fistulae originate from the anal glands , which are located between the internal and external anal sphincter and drain into the anal canal. The tract formed by this process is a fistula. Abscesses can recur if the fistula seals over, allowing the accumulation of pus. It can then extend to the surface again — repeating the process.
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