RT Book, Section A1 Hay, Jr, William W. A1 Levin, Myron J. A1 Deterding, Robin R. A1 Abzug, Mark J. SR Print(0) ID 1145453485 T1 Anal Fissure T2 Quick Medical Diagnosis & Treatment Pediatrics YR 2017 FD 2017 PB McGraw-Hill Education PP New York, NY SN 9781264257614 LK accesspediatrics.mhmedical.com/content.aspx?aid=1145453485 RD 2024/04/24 AB Defined as a slit-like tear in the squamous epithelium of the anus that usually occurs secondary to the passage of large, hard fecal masses, typically at the superior and inferior aspects of the anusAnal stenosis, anal crypt abscess, and trauma can be contributory factorsSexual abuse must be considered in children with large, irregular, or multiple anal fissuresThe infant or child with anal fissure typically cries with defecation and will try to hold back stools