An anal fistula is a granulation tissue-lined aberrant tract that connects a main opening inside the anal canal to a secondary opening on the perianal skin. The opening on the perianal skin is frequently so small that many people are unaware of it. An infection in the anal glands causes an accumulation of pus (abscess) in adjacent tissue, resulting in the formation. Bacterial, fecal, or foreign debris can occasionally obstruct the anal gland, allowing an abscess cavity to form. An anal fistula is a single tube that connects the inside of the anus/rectum to the skin around the anus in many circumstances. The abscess may drain on its own at times, leaving a little passage behind. In rare situations, the condition is more complex, with the abscess causing the formation of "secondary tracts" or branching out if the abscess is stuck inside the tunnel, or with many tracts, potentially with multiple skin openings.
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