November 09, 2010

MRCP 1 Question 25

A 35 year old male has a chronic anal fissure.

This is typically managed by:

a) abdominal perineal resection
b) chemotherapy and radiatiotherapy
c) CT guided drainage
d) transverse colectomy
e) internal sphincterotomy








ANSWER
The correct answer is E



Explanation
Chronic fissures are managed by subcutaneous or open lateral internal sphincterotomy, posterior internal sphincterotomy with advancement flap, or manual dilatation.

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