1st April 2022

A 45-year-old patient presents to the surgical assessment unit with a hard lump in his anal region

A 45-year-old patient presents to the surgical assessment unit with a hard lump in his anal region. He tells you that he has felt it for the past few months on occasion, and sometimes it is not always present. Usually he can feel it after he has been straining particularly hard on defecation. However today he says that it is painful and feels much harder than usual. This is the first time this situation has happened. 

Which of the following option is not a complication of this patient’s condition?

Select the SINGLE most appropriate option from the list below. Select ONE option only.