Aug 15, · Hypertrophied anal papilla should be included in the differential diagnosis of a smooth mass located near the anal verge, especially in a patient with a history of chronic anal irritation or infection. Anal papilla: A skin tag that projects up from the junction between the skin and the inside lining of the anus. Anal papillae tend to occur with anal fissures and may be detected on a digital examination of the anus or with a scope. Anus and perianal area - Hypertrophied papillae Ranges from subtle swelling at base of anal column to mass protruding into anal canal. The lesion is a hypertrophied papilla--an enlarged teat-like structure that may develop in an anal crypt. Treatment options include surgical excision. In some cases, hypertrophied anal papillae must be distinguished from the guard bumps that occur in patients with chronic anal fissure, as well as chronic hemorrhoids. Typically, the guard bumps are located at the upper or lower edge of anal fissure.
The anal papilla at the cephalad edge of the anal fissure may also become enlarged and hypertrophied as a result of the chronic inflammation. Thus, the classic triad of a chronic anal fissure is the fissure itself, accompanied above by a hypertrophied anal papilla and below by a sentinel skin tag. Anus and perianal area - Hypertrophied papillae Ranges from subtle swelling at base of anal column to mass protruding into anal canal. Aug 03, · Fissure in ano has three components such as fissure, sentinel pile and hypertrophied anal papilla. Hypertrophied anal papilla is situated at the internal boundary of fissure and it is covered by mucous membrane in contrast to .