https://wikem.org/w/index.php?action=history&feed=atom&title=Anal_fistula%2Fes 2026-04-18T10:53:17Z Revision history for this page on the wiki MediaWiki 1.38.2 https://wikem.org/w/index.php?title=Anal_fistula/es&diff=381580&oldid=prev 2026-01-12T23:50:15Z

<p>Created page with &quot;&lt;references/&gt;&quot;</p> <p><b>New page</b></p><div>&lt;languages/&gt;<br /> <br /> ==Antecedentes==<br /> <br /> [[File:Rectum anatomy en.png|thumb|Anatomy of the anus and rectum.]]<br /> [[File:Fistula diag 01.png|thumb|Different types of anal fistulas.]]<br /> *Inflammatory tract originating from infected anal gland connecting anal canal with skin<br /> **May be intersphincteric, suprasphincteric, transsphincteric, or extrasphincteric<br /> *Goodsall's Rule<br /> **Draw imaginary line horizontally through the anal canal<br /> ***If external opening is anterior to this line fistula runs directly into the canal<br /> ***If external opening is posterior to this line fistula curves to post midline of canal<br /> <br /> <br /> ===Causas===<br /> <br /> *[[Special:MyLanguage/perianal Abscess|Perianal]]/ischiorectal abscess<br /> *[[Special:MyLanguage/Crohn's|Crohn's]]<br /> *[[Special:MyLanguage/Ulcerative colitis|Ulcerative colitis]]<br /> *Malignancy<br /> *[[Special:MyLanguage/STI|STI]]<br /> *[[Special:MyLanguage/Anal fissure|Anal fissure]]<br /> *[[Special:MyLanguage/Rectal foreign body|foreign bodies]]<br /> *[[Special:MyLanguage/TB|TB]]<br /> <br /> <br /> ==Características clínicas==<br /> <br /> *Fistulous tract open: Persistent, painless, blood-stained, mucous, malodorous discharge<br /> *Fistulous tract blocked: Bouts of inflammation that are relieved by spontaneous rupture<br /> *[[Special:MyLanguage/perianal Abscess|Abscess]]<br /> **Throbbing pain that is constant and worse with sitting, moving, defecation<br /> **May be only sign of fistula<br /> *Fistulous opening<br /> **Adjacent to anal margin suggests superficial connection (e.g. intersphincteric region)<br /> **Distant from anal margin suggests deeper, more superior abscess<br /> <br /> <br /> ==Diagnóstico diferencial==<br /> <br /> {{Anorectal DDX}}<br /> <br /> <br /> ==Evaluación==<br /> <br /> *Endocavitary [[Special:MyLanguage/ultrasound|ultrasound]] with 3% hydrogen peroxide for definitive diagnosis<br /> <br /> ==Manejo==<br /> <br /> #Ill-appearing<br /> ##[[Special:MyLanguage/Analgesia|Analgesia]]<br /> ##[[Special:MyLanguage/IVF|IVF]]<br /> ##[[Special:MyLanguage/Antibiotics|Antibiotics]]<br /> ##Urgent surgical consultation<br /> #Well-appearing<br /> ##Antibiotics<br /> ###[[Special:MyLanguage/Ciprofloxacin|Ciprofloxacin]] 750mg PO BID AND [[Special:MyLanguage/metronidazole|metronidazole]] 500mg QID x7d<br /> ##Outpatient surgery referral<br /> ###Improperly excised fistulas may result in permanent fecal incontinence<br /> ##Spasm treatment<br /> ###[[Special:MyLanguage/Nitroglycerin|Nitroglycerin]], [[Special:MyLanguage/Lidocaine|Lidocaine]]<br /> ###Sitz baths<br /> <br /> <br /> ==Ver también==<br /> <br /> *[[Special:MyLanguage/Anorectal Disorders|Anorectal Disorders]]<br /> <br /> <br /> ==Referencias==<br /> <br /> &lt;references/&gt;<br /> <br /> <br /> [[Category:GI]]<br /> [[Category:Surgery]]</div>

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