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At the bottom of the ampoule wall of the rectum are called morganievy columns and crypts. Sometimes the free edge of the valve may be a small triangular elevation - is anal papillae. anal papilla a skin tag that projects up from the junction between the skin and the inside lining of the anus. Anal papillae tend to occur with anal fissures and may be detected on a digital examination of the anus or with a scope. Anal papilla april 23, 2016 admin the most common indications of the presence of one or more enlarged and irritated anal papillae (plural) is a vague persistent feeling of uneasiness in the rectum, discomfort when sitting, and dull pain. hypertrophied anal papillae are benign growths of connective tissue that are covered by squamous cells. They are simply enlarged normal papillae, which are small folds of mucosa found at the dentate line. Hypertrophied anal papillae are also called fibroepithelial polyps. although anal papillae are commonly seen endoscopically, they are rarely demonstrated radiographically. Three cases are reported of hypertrophied anal papillae that were demonstrated on air-contrast barium enema examinations. Radiographically an enlarged anal papilla appears as a smooth polyp located just inside the anal verge. These anal papillae are covered with stratified squamous epithelium, and their color white. In some cases, hypertrophied anal papillae must be distinguished from the guard bumps that occur in patients with chronic anal fissure, as well as chronic hemorrhoids. Typically, the guard bumps are located at the upper or lower edge of anal fissure. Cd34 stains atypical stromal cells electron microscopy description. Fibroblastic and myofibroblastic stromal cells differential diagnosis. large anal hypertrophied papillae that introduced into the rectum. The presence of hypertrophied anal papillae and fibrous anal polyps are often ignored in the proctology practice. But the experience is that they tend to produce minor but disturbing symptoms.