What are the physical findings indicative of chronic fissures?

Updated: Nov 09, 2018
  • Author: Bruce M Lo, MD, MBA, CPE, RDMS, FACEP, FAAEM, FACHE; Chief Editor: Barry E Brenner, MD, PhD, FACEP  more...
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Answer

With chronic fissures, the classic fissure triad may be seen, as follows:

  • Deep ulcer

  • Sentinel pile, which forms when the base of the fissure becomes edematous and hypertrophic (a resolving sentinel pile can result in a permanent skin tag or may become associated with a fistulous tract)

  • Enlarged anal papillae at dentate line, only seen in the OR under general anesthesia or if prolapsed


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