Gynecological diagnosis . Complete Fig. 196.—Diagram of Complete Fistula in Ano. cavity having an opening in the skin, near the anus. The trackmay represent a previous existing complete fistula the internal open-ing of which has closed. In the case of (6), the blind internalfistula, there are three courses taken by the abscess track to itsopening into the bowel: it may be subcutaneous and pass outside. jfthncl internalfistula. Fig. 196a.—Diagram of Blind Internal Fistula. the external sphincter into the anus; it may be submuscular, passingthrough the external sphincter, or between th
Gynecological diagnosis . Complete Fig. 196.—Diagram of Complete Fistula in Ano. cavity having an opening in the skin, near the anus. The trackmay represent a previous existing complete fistula the internal open-ing of which has closed. In the case of (6), the blind internalfistula, there are three courses taken by the abscess track to itsopening into the bowel: it may be subcutaneous and pass outside. jfthncl internalfistula. Fig. 196a.—Diagram of Blind Internal Fistula. the external sphincter into the anus; it may be submuscular, passingthrough the external sphincter, or between the internal and theexternal sphincters; or it may be submucous, coursing entirely inthe submucous tissue. The last form is often due to a preexisting 518 DISEASES OF THE RECTUM fissure, is apt to be higher in the rectum than the others, and may befelt by a finger in the rectum as a cord, running in the rectal wall. Goodsall and Miles have observed that fistulas which havestarted posterior to a transverse line drawn through the anus, bur-row more extensively than those that have started in front ofthis line. Symptoms of Fistula.—The symptoms of fistula are pus fromthe bowel, together with the history of a preexisting abscess, orfissure, or other rectal disease. Flatus may escape from a completefistula and also liquid feces and gas may distend a blind fistula sothat it is painful. If the swelling due to
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectwomen, bookyear1910
