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SAS Journal of Surgery | Volume-2 | Issue-04
Pattern of anorectal diseases in surgical practice in Omdurman Teaching Hospital, Sudan
Hana Mohammed Osman Elriah, Aamir Abdullahi Hamza, Yousif Abdulhameed Alsisi
Published: Aug. 30, 2016 |
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DOI: 10.36347/sasjs
Pages: 183-188
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Abstract
Anorectal diseases are very common and mostly benign disorders, its prevalence in the general population has
been difficult to establish. The objective was to study the pattern of anorectal conditions, clinical presentations and type
of treatment received. This is a prospective, case findings and hospital-based study. Conducted at Omdurman teaching
hospital, over a period of six months (Oct. 2015–Apr. 2016). All patients with anorectal conditions presented and
managed at our hospital were included. Excluded were patients less than 18 years old or traumatic anorectal conditions.
The study included 107 patients with anal conditions. The mean age was 38.6±13.7 years. Most of the patients 84(78.5%)
were in their third to fifth decade of life. The common triad of symptoms in more than 72% of our patients was; anal
pain, constipation and difficulty in passing stool. Most of our patients 66 (61.7%) were cases of haemorrhoids; however
anal fissure (AF) and fistula-in-ano (FIA) were seen in 14.0% and 10.3% respectively. Most of patients with
haemorrhoids 72.7% were either (second degree in 25.8% or third degree in 46.9%). Ninety one percent of the cases of
FIA were the low type.