A high incidence of recurrence has been attributed to a congenital abnormality of the anal crypts. To verify this hypothesis, we reviewed all anal fistulas seen in children less than 2 years of age and treated between 19. An anal fissure occurs when the mucous lining of the anus becomes torn 1 2. About 80 percent of infants develop these fissures before their first birthdays, according to medline plus 1. In some cases, the fissure is a small crack in the skin, but in other cases the only evidence is blood in the babys diaper or diaper wipe. An anal fistula is a tunnel that runs from inside the anus-- the hole your body uses to get rid of solid waste -- to somewhere in the skin around it. Anal fistulas in infants are observed exclusively in males and are often related to abnormal crypts. Although 92 of fistulas are preceded by a perianal abscess, only 42 of perianal abscesses will result in fistula formation. Anal fistulas can be treated by either fistulotomy or fistulectomy. Anal fistula infanttoddler the anal canal is the end portion of the intestinal tract. Sometimes an abnormal passageway develops from the anal canal to another organ. This may cause feces to be passed through the vagina, urinary tract, or skin instead of. Anal fistula in infants etiology, features, management by dan poenaru and salam yazbeck montreal, quebec anal fistulas in infants are poorly understood. A high incidence of recurrence has been attributed to a congenital abnormality of the anal crypts. To verify this hypothesis, we reviewed all anal fistulas seen in children less than 2 years. Definition a fistula-in-ano (also known as perianal fistula) is an abnormal connection between the anal canal and the skin around the anus. A perianal abscess is a collection of pus or infection near the anus. Epidemiology fistula-in-ano occurs most commonly in infants younger than one year of. anal fistula is the medical term for an infected tunnel that develops between the skin and the muscular opening at the end of the digestive tract (anus). Most anal fistulas are the result of an infection that starts in an anal gland. This infection results in an abscess that drains spontaneously or is drained surgically through the skin next to. an anal fistula can easily be seen by using hydrogen peroxide in a case. A baby (3-month-old male) was brought with recurrent perianal abscesses and inflammation. The anal fistula was found out during irrigating the abscess cavity with hydrogen peroxide with 24 gauge iv catheter.