(800)222-2114. Claims: (877)224-5677. American Commerce Insurance Company is part of the MAPFRE Insurance group. They originated in Massachusetts as The Commerce Group, Inc. (CGI), founded in the town of Webster, Massachusetts in 1972. They are the largest private passenger automobile insurer, homeownersâ insurer and commercial automobile insurer in Massachusetts.
FREE subscriptions for doctors and students... You have 3 open access pages. The oblique fissures divide the lung on both sides into upper and lower lobes. The upper lobe on the right is further subdivided by the horizontal fissure into definitive upper lobe - above the fissure - and middle lobe - below the fissure. The fissures extend from the surface of the lung to its hilum. Along this route, visceral pleura apposes visceral pleura.
An anal fissure (fissure-in-ano) is a small, oval shaped tear in skin that lines the opening of the anus. Fissures typically cause severe pain and bleeding with bowel movements. Fissures are quite common in the general population, but are often confused with other causes of pain and bleeding, such as hemorrhoids.he typical symptoms of an anal fissure include severe pain during, and especially after, a bowel movement, lasting from several minutes to a few hours. Patients may also notice bright red blood from the anus that can be seen on the toilet paper or on the stool.