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Radiology, Vol 179, 687-688, Copyright © 1991 by Radiological Society of North America

ARTICLES

Double anal canal: complication of rectal fecalith

BR Javors and ES Gould
Department of Radiology, North Shore University Hospital-Cornell University Medical College, Manhasset, NY 11030.

Fecaliths and stercoraceous ulcerations are well-known complications of chronic constipation. The authors present the case of a double anal canal in an elderly man. This anorectal fistula (complex anal fistula) developed as a complication of an impacted rectal fecalith with resultant stercoraceous ulceration. Eventually, a persistent epithelialized canal developed and was demonstrated at double-contrast barium enema examination. The patient remained continent at all times.




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