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Anal sac fistulas

An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal fistula also commonly called fistula-in-ano is frequently the result of a previous or current anal abscess. Normal anatomy includes small glands just inside the anus. The fistula is the tunnel that forms under the skin and connects the clogged infected glands to an abscess.
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Perianal Fistula

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Anal Sac Disease - Digestive System - Veterinary Manual

Perianal fistula is characterized by chronic, purulent, malodorous, ulcerating, sinus tracts in the perianal tissues. It is most common in German Shepherds and is also seen in Setters and Retrievers. The cause is unknown, although many theories have been proposed. Contamination of the hair follicles and glands of the anal area by fecal material and anal sac secretions may result in necrosis, ulceration, and chronic inflammation of the perianal skin and tissues. Affected animals may be predisposed to generalized skin problems. Hypothyroidism, an immunologic defect, or an immune-mediated component may contribute to susceptibility. The likelihood of contamination is greater in dogs with a broad-based tail; deep anal folds may cause feces to be retained within rectal glands and play a major role.
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Perianal Fistula in Dogs

A perianal fistula is a painful opening in the skin around the anus of a dog. The condition affects German Shepherds most commonly, although other breeds can develop the problem. There are several possible contributing factors, including genetics, allergic skin disease, and alterations in immune system functioning. If your dog strains to defecate, has pain and bleeding around his rear end, seems constipated, licks his bottom excessively, or has a smelly discharge from the area, a perianal fistula is possible. Treatments range from medication to surgery, though for many dogs the problem is persistent.
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Anal sac disease is the most common disease entity of the anal region in dogs. Small breeds are predisposed; large or giant breeds are rarely affected. In cats, the most common form of anal sac disease is impaction.
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