Anorectal disorders: Difference between revisions

Latest revision as of 20:30, 6 January 2026

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Background

Anatomy of the anus and rectum.

Anatomy of the anus.

The interior of the anal cami and lower part of the rectum, showing the anal columns and the anal valves between their lower ends (columns in image numerous than typical).

Coronal section of rectum and the anal canal.

Clinical Features

Visual Diagnosis

Differential Diagnosis

Anorectal Disorders

Anal fissure
Anal fistula
Anal malignancy
Anal tags
Anorectal abscess
Coccydynia
Colorectal malignancy
Condyloma acuminata
Constipation
Crohn's disease
Cryptitis
GC/Chlamydia
Fecal impaction
Hemorrhoids
- Internal hemorrhoid
- External hemorrhoid
Levator ani syndrome
Pedunculated polyp
Pilonidal cyst
Proctalgia fugax
Proctitis
Pruritus ani
- Enterobius (pinworms)
Rectal foreign body
Rectal prolapse
Syphilitic fissure

Non-GI Look-a-Likes

Prostatitis

Evaluation

Algorithmic Diagnostic Approach

Pain
- Bleeding
  - External hemorrhoid
  - Prolapsed internal hemorrhoid
  - Anal Fissure
    - Off midline = cancer, HIV, TB, Crohn's
- No bleeding
  - Swelling
    - Anorectal abscess
      - Perirectal
      - Ischiorectal
      - Intersphincteric
      - Supralevator
    - Pilonidal cyst
    - Anal fistula
    - Hidradenitis suppurativa
  - No swelling
    - Proctalgia fugax
No pain
- Bleeding
  - Cancer
  - Internal hemorrhoid
- Swelling
  - Itch: Condyloma acuminata
  - No itch: Rectal prolapse
- Itching
  - Discharge: Proctitis
  - No discharge: Pruritus Ani

Management

Disposition

External Links

References

Authors:

@@ Line 1: / Line 1: @@
-==Background==
+<languages/>
+<translate>
+==Background== <!--T:1-->
+<!--T:2-->
 [[File:Rectum anatomy en.png|thumb|Anatomy of the anus and rectum.]]
 [[File:Human anus-en.png|thumb|Anatomy of the anus.]]
+[[File:Gray1080.png|thumb|The interior of the anal cami and lower part of the rectum, showing the anal columns and the anal valves between their lower ends (columns in image numerous than typical).]]
+[[File:Gray1078.png|thumb|Coronal section of rectum and the anal canal.]]
+==Clinical Features== <!--T:3-->
+==Visual Diagnosis== <!--T:4-->
-==Clinical Features==
+<!--T:5-->
-==Visual Diagnosis==
 <gallery mode="packed">
-File:PMC2653786 ijmsv06p0077g13.png|[[Anal tags]]
+File:PMC2653786 ijmsv06p0077g13.png|[[Special:MyLanguage/Anal tags|Anal tags]]
-File:M 44 anus 22.jpg|[[External hemorrhoid]]
+File:DSCB4096(anal worms or just toilet paper remainders@).jpg|[[Special:MyLanguage/Enterobius|Enterobius]] (pinworms)
-File:Anal fissure 2.jpg|[[Anal fissure]]
+File:M 44 anus 22.jpg|[[Special:MyLanguage/External hemorrhoid|External hemorrhoid]]
-File:SOA-Condylomata-acuminata-around-anus.jpg|[[Anal warts]]
+File:Anal fissure 2.jpg|[[Special:MyLanguage/Anal fissure|Anal fissure]]
-File:Perianalabscess.jpg|[[Perianal abscess]]
+File:SOA-Condylomata-acuminata-around-anus.jpg|[[Special:MyLanguage/Anal warts|Anal warts]]
-File:Hemrrhoids 05.jpg|[[Internal hemorrhoid]] with prolapse
+File:Perianalabscess.jpg|[[Special:MyLanguage/Perianal abscess|Perianal abscess]]
-File:Pilonidal abscess.jpg|[[Pilonidal cyst]]
+File:Hemrrhoids 05.jpg|[[Special:MyLanguage/Internal hemorrhoid|Internal hemorrhoid]] with prolapse
+File:Pilonidal abscess.jpg|[[Special:MyLanguage/Pilonidal cyst|Pilonidal cyst]]
+File:Full thickness rectal prolapse & mucosal prolapse..jpg|[[Special:MyLanguage/Rectal prolapse|Rectal prolapse]]
 </gallery>
-==Differential Diagnosis==
+==Differential Diagnosis== <!--T:6-->
+</translate>
 {{Anorectal DDX}}
+<translate>
+==Evaluation== <!--T:7-->
-==Evaluation==
+===Algorithmic Diagnostic Approach=== <!--T:8-->
-===Algorithmic Diagnostic Approach===
+<!--T:9-->
 *Pain
 **Bleeding
-***External [[hemorrhoid]]
+***External [[Special:MyLanguage/hemorrhoid|hemorrhoid]]
-***Prolapsed internal [[hemorrhoid]]
+***Prolapsed internal [[Special:MyLanguage/hemorrhoid|hemorrhoid]]
-***[[Anal Fissure]]
+***[[Special:MyLanguage/Anal Fissure|Anal Fissure]]
-****Off midline = cancer, [[HIV]], [[TB]], [[Crohn's]]
+****Off midline = cancer, [[Special:MyLanguage/HIV|HIV]], [[Special:MyLanguage/TB|TB]], [[Special:MyLanguage/Crohn's|Crohn's]]
 **No bleeding
 ***Swelling
-****[[Anorectal abscess]]
+****[[Special:MyLanguage/Anorectal abscess|Anorectal abscess]]
 *****Perirectal
 *****Ischiorectal
 *****Intersphincteric
 *****Supralevator
-****[[Pilonidal cyst]]
+****[[Special:MyLanguage/Pilonidal cyst|Pilonidal cyst]]
-****[[Anal fistula]]
+****[[Special:MyLanguage/Anal fistula|Anal fistula]]
 ****Hidradenitis suppurativa
 ***No swelling
-****[[Proctalgia fugax]]
+****[[Special:MyLanguage/Proctalgia fugax|Proctalgia fugax]]
 *No pain
 **Bleeding
 ***Cancer
-***Internal [[hemorrhoid]]
+***Internal [[Special:MyLanguage/hemorrhoid|hemorrhoid]]
 **Swelling
-***Itch: [[Condyloma acuminata]]
+***Itch: [[Special:MyLanguage/Condyloma acuminata|Condyloma acuminata]]
-***No itch: [[Rectal prolapse]]
+***No itch: [[Special:MyLanguage/Rectal prolapse|Rectal prolapse]]
 **Itching
-***Discharge: [[Proctitis]]
+***Discharge: [[Special:MyLanguage/Proctitis|Proctitis]]
-***No discharge: [[Pruritus Ani]]
+***No discharge: [[Special:MyLanguage/Pruritus Ani|Pruritus Ani]]
+==Management== <!--T:10-->
+==Disposition== <!--T:11-->
+==See Also== <!--T:12-->
+<!--T:13-->
+*[[Special:MyLanguage/Diagnoses by Body Part (Main)|Diagnoses by Body Part (Main)]]
-==Management==
+==External Links== <!--T:14-->
-==Disposition==
-==See Also==
+==References== <!--T:15-->
-*[[Diagnoses by Body Part (Main)]]
-==External Links==
-==References==
+==References== <!--T:16-->
-==References==
+<!--T:17-->
 <references/>
+<!--T:18-->
 [[Category:GI]]
 [[Category:Symptoms]]
+</translate>