Q:

A 22 year old woman with longstanding constipation has severe ano-rectal pain on defecation. Rectal examination: impossible due to pain and spasm. What is the most probable diagnosis?

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A 22 year old woman with longstanding constipation has severe ano-rectal pain on defecation. Rectal examination: impossible due to pain and spasm. What is the most probable diagnosis?


  1. Anal hematoma
  2. Anal fissure
  3. Anal abscess
  4. Protalgia fugax
  5. Hemorrhoids

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The key is B. Anal fissure.

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