Anal fistula an abnormal channel developing between the anus and the skin of the buttocks. Inflammatory bowel disease (crohns and ulcerative colitis) or previous surgery are common causes. It is located in a position between the rectum and the anus, under the level of the pelvic diaphragm. It is situated in the anal triangle of the perineum, between the left and right ischioanal fossa.
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