Acute colonic dilatation associated with a painful anal fissure


We report the case of an elderly woman who developed acute colon dilatation as a consequence of a painful fissure of the anus with severe hypertonia. After having excluded mechanical aetiology, a lateral internal sphincterotomy was performed under local anaesthesia. The procedure cured the anal pain and, by facilitating normal bowel function, allowed… (More)
DOI: 10.1007/s101510070010


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