23:
to its internal opening (in the anal canal). It states that if the perianal skin opening is posterior to the transverse anal line, the fistulous tract will open into the anal canal in the midline posteriorly, sometimes taking a curvilinear course. A perianal skin opening anterior to the transverse
27:
Or in more direct terms, it means that anterior-opening fistulas tend to follow a simple, direct course if it is within the 3cm radius, beyond which it takes a curving path and opens in poster midline. The posterior-opening fistulas may follow a devious, curving path with some even being
195:
143:
Burgess BE. Chapter 88. Anorectal
Disorders. In: Tintinalli JE, Stapczynski JS, Cline DM, Ma OJ, Cydulka RK, Meckler GD, eds. Tintinalli's Emergency Medicine: A Comprehensive Study Guide. 7th ed. New York: McGraw-Hill; 2011.
50:. An exception to the rule are anterior fistulas lying more than 3.75 cm from the anus, which may have a curved track (similar to posterior fistulas) that opens into the posterior midline of the anal canal.
46:, the so-called transverse anal line. Anterior fistulas will have a direct track into the anal canal. Posterior fistulas will have a curved track with their external opening lying in the posterior midline of the
53:
According to a study on patients undergoing operations for cryptoglandular anal fistulas, 92.9% of fistulas within 1.5 cm followed the
Goodsall rule, whereas only 47.4% followed it beyond 3.6 cm.
188:
24:
anal line (within 3cm radius) is usually associated with a radial fistulous tract but if it's beyond the 3 cm radius it will take a curvilinear course and open in the midline posterioly.
181:
57:
In situations where there are multiple anal fistulae, the course would be similar to that of posterior-opening fistulae because of branching and communication between these openings.
90:
100:
416:
173:
827:
61:
801:
710:
756:
336:
277:
220:
208:
494:
688:
441:
351:
786:
776:
715:
668:
651:
570:
411:
282:
68:
420:
346:
321:
436:
618:
547:
479:
470:
204:
771:
663:
552:
119:
80:
806:
796:
791:
741:
673:
590:
364:
96:
761:
683:
504:
431:
341:
595:
484:
391:
359:
304:
250:
766:
369:
331:
326:
145:
832:
746:
736:
678:
613:
527:
821:
751:
532:
426:
406:
39:
159:
628:
623:
489:
396:
255:
20:
781:
658:
289:
731:
542:
474:
465:
457:
447:
299:
294:
260:
245:
47:
272:
265:
240:
646:
575:
499:
235:
64:(MRI). Fistulograms can be used to demonstrate the track of the fistula.
35:
585:
580:
309:
212:
31:
702:
230:
537:
386:
92:
Principles and
Practice of Surgery for the Colon, Rectum and Anus
43:
177:
28:
horseshoe-shaped before opening in the posterior midline.
19:
relates the external opening (in the perianal skin) of an
146:
http://www.accessmedicine.com/content.aspx?aID=6361536
724:
701:
639:
606:
563:
520:
513:
456:
378:
219:
160:"PTU-196 Goodsall's rule – past its sell-by date?"
60:The investigation of choice for anal fistulas is
189:
8:
517:
196:
182:
174:
111:
7:
95:. Informa Health Care. p. 245.
14:
38:relating to a line drawn in the
67:Goodsall's rule is named after
1:
417:Charcot's cholangitis triad
849:
71:who described it in 1900.
62:magnetic resonance imaging
802:Sister Mary Joseph nodule
148:. Accessed June 14, 2012.
89:Philip H Gordon (2002).
209:human digestive system
495:Obstructed defecation
36:anterior or posterior
757:Aure-Rozanova's sign
716:Hannington-Kiff sign
711:Howship–Romberg sign
669:Aortic insufficiency
571:Abdominal distension
69:David Henry Goodsall
34:can be described as
322:Chilaiditi syndrome
828:Colorectal surgery
689:Grey Turner's sign
619:Hepatosplenomegaly
548:Abdominal guarding
480:Fecal occult blood
471:Fecal incontinence
442:Mirizzi's syndrome
352:Sherren's triangle
205:Signs and symptoms
815:
814:
787:Fothergill's sign
777:Rosenstein's sign
697:
696:
652:Mallet-Guy's sign
591:Shifting dullness
412:Courvoisier's law
120:"Goodsall's Rule"
85:at Surgical Tutor
840:
518:
505:Rectal discharge
421:Reynolds' pentad
360:Radiologic signs
347:McBurney's point
221:Gastrointestinal
207:relating to the
198:
191:
184:
175:
168:
167:
155:
149:
141:
135:
134:
132:
130:
116:
106:
848:
847:
843:
842:
841:
839:
838:
837:
818:
817:
816:
811:
772:Lockwood's sign
720:
693:
664:Ballance's sign
635:
602:
596:Fluid wave test
559:
553:Blumberg's sign
509:
485:Rectal tenesmus
452:
392:Councilman body
374:
317:Goodsall's rule
305:Hypersalivation
222:
215:
202:
172:
171:
157:
156:
152:
142:
138:
128:
126:
118:
117:
113:
103:
88:
82:Perianal sepsis
77:
17:Goodsall's rule
12:
11:
5:
846:
844:
836:
835:
830:
820:
819:
813:
812:
810:
809:
807:Blumer's shelf
804:
799:
797:Massouh's sign
794:
792:Carnett's sign
789:
784:
779:
774:
769:
764:
759:
754:
749:
747:Hamburger sign
744:
742:Rovsing's sign
739:
737:Obturator sign
734:
728:
726:
722:
721:
719:
718:
713:
707:
705:
699:
698:
695:
694:
692:
691:
686:
681:
676:
674:Castell's sign
671:
666:
661:
656:
655:
654:
643:
641:
637:
636:
634:
633:
632:
631:
626:
616:
614:Abdominal mass
610:
608:
604:
603:
601:
600:
599:
598:
593:
588:
583:
578:
567:
565:
561:
560:
558:
557:
556:
555:
550:
545:
540:
535:
528:Abdominal pain
524:
522:
515:
511:
510:
508:
507:
502:
497:
492:
487:
482:
477:
468:
462:
460:
454:
453:
451:
450:
445:
439:
434:
423:
414:
409:
400:
399:
394:
382:
380:
376:
375:
373:
372:
367:
365:Hampton's line
355:
354:
349:
344:
339:
334:
329:
324:
319:
313:
312:
307:
302:
297:
292:
287:
286:
285:
280:
270:
269:
268:
263:
258:
248:
243:
238:
233:
227:
225:
217:
216:
203:
201:
200:
193:
186:
178:
170:
169:
150:
136:
110:
109:
108:
107:
101:
86:
76:
73:
13:
10:
9:
6:
4:
3:
2:
845:
834:
831:
829:
826:
825:
823:
808:
805:
803:
800:
798:
795:
793:
790:
788:
785:
783:
780:
778:
775:
773:
770:
768:
765:
763:
762:Dunphy's sign
760:
758:
755:
753:
752:Heel tap sign
750:
748:
745:
743:
740:
738:
735:
733:
730:
729:
727:
723:
717:
714:
712:
709:
708:
706:
704:
700:
690:
687:
685:
684:Cullen's sign
682:
680:
677:
675:
672:
670:
667:
665:
662:
660:
657:
653:
650:
649:
648:
645:
644:
642:
638:
630:
627:
625:
622:
621:
620:
617:
615:
612:
611:
609:
605:
597:
594:
592:
589:
587:
584:
582:
579:
577:
574:
573:
572:
569:
568:
566:
562:
554:
551:
549:
546:
544:
541:
539:
536:
534:
533:Acute abdomen
531:
530:
529:
526:
525:
523:
519:
516:
512:
506:
503:
501:
498:
496:
493:
491:
488:
486:
483:
481:
478:
476:
472:
469:
467:
464:
463:
461:
459:
455:
449:
446:
443:
440:
438:
437:LĂ©pine's sign
435:
433:
432:Murphy's sign
429:
428:
427:cholecystitis
424:
422:
418:
415:
413:
410:
408:
405:
402:
401:
398:
395:
393:
390:
388:
384:
383:
381:
377:
371:
368:
366:
363:
361:
357:
356:
353:
350:
348:
345:
343:
342:Markle's sign
340:
338:
337:Arapov's sign
335:
333:
330:
328:
325:
323:
320:
318:
315:
314:
311:
308:
306:
303:
301:
298:
296:
293:
291:
288:
284:
281:
279:
278:oropharyngeal
276:
275:
274:
271:
267:
264:
262:
259:
257:
254:
253:
252:
249:
247:
244:
242:
239:
237:
234:
232:
229:
228:
226:
224:
218:
214:
210:
206:
199:
194:
192:
187:
185:
180:
179:
176:
165:
161:
154:
151:
147:
140:
137:
125:
121:
115:
112:
104:
102:0-8247-4282-6
98:
94:
93:
87:
84:
83:
79:
78:
74:
72:
70:
65:
63:
58:
55:
51:
49:
45:
41:
40:coronal plane
37:
33:
29:
25:
22:
18:
767:Alder's sign
629:Splenomegaly
624:Hepatomegaly
490:Constipation
425:
403:
397:Mallory body
385:
370:Klemm's sign
358:
332:Aaron's sign
327:Dance's sign
316:
256:Trichophagia
163:
153:
139:
127:. Retrieved
123:
114:
91:
81:
66:
59:
56:
52:
30:
26:
21:anal fistula
16:
15:
782:Cupola sign
679:Kehr's sign
659:Puddle sign
290:Odynophagia
158:Cuiñas, K.
42:across the
822:Categories
732:Psoas sign
564:Distension
543:Baby colic
475:encopresis
466:Flatulence
458:Defecation
448:Nardi test
407:Boas' sign
300:Xerostomia
295:Bad breath
283:esophageal
261:Pagophagia
246:Aerophagia
75:References
48:anal canal
379:Accessory
273:Dysphagia
266:Geophagia
241:Heartburn
647:Jaundice
576:Bloating
500:Diarrhea
404:biliary:
236:Vomiting
124:UpToDate
32:Fistulas
586:Tympany
581:Ascites
514:Abdomen
310:Burping
213:abdomen
129:8 April
703:Hernia
607:Masses
231:Nausea
99:
833:Rules
725:Other
640:Other
538:Colic
387:liver
223:tract
521:Pain
473:and
251:Pica
131:2023
97:ISBN
44:anus
211:or
164:Gut
824::
162:.
122:.
444:)
430:(
419:/
389::
362::
197:e
190:t
183:v
166:.
133:.
105:.
Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.