A fistula is a small tunnel that makes an abnormal connection between the site of the abscess and the skin. In some cases, an anal fistula causes persistent drainage.
A fistula develops as the result of spontaneous perforation of the abscess, or of surgical incision. If the external and internal (anal) ostium can be verified by examination, the so called complete fistula will be treated as later shown.
An abscess is a localized pocket of pus caused by infection from bacteria. It can occur in any part of the body. When bacteria seep into the underlying tissues in the anal canal, an abscess may develop. A fistula is a tiny channel or tract that develops in the presence of inflammation and infection.
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