Lesioni perianali

Abstract

Anorectal diseases are quite common in children, but their management often raises uncertainty. The most frequent lesions are anal fissures, which are mainly linked to constipation. Intense strain may also lead to rectal prolapse or haemorrhoids. Perianal abscess is common in younger children, while it should arouse suspicion in case of older ones or if it is complex and recurring. Finally, perianal fistula may be a complication of Crohn's disease, which may even precede gastrointestinal symptoms by years.