Fissure or Ulcers

Anal fissures in perineal Crohn's disease are classically deep, indolent, relatively painless and eccentrically located (Fig. 4) but most Crohn's related fissures are in the midline.

Fissure Disease
Fig. 3. Abscess in perineal Crohn's disease
Lithotomy Position Pictures
Fig. 4. Ulceration located at 1 o'clock lithotomy position with granulation tissue

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