Previous Image Next Image Anal Fissure with Sentinel Pile. This is a fissure, NOT a hemorrhoid. 21,679 Share this:TwitterXFacebookLinkedInPinterestWhatsAppRedditPocketMastodon Related Image Author Elliott Brender Uploaded on 10/09/2009 Category Colorectal / Internal Surgery Tags anus, fissure, hemorrhoid, sentinel pile Downloads 22297 Downloads 1 If you have used this image in a publication or presentation please email MEDIA@SAGES.org and let us know how it worked out.