(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.
[edit on Wikidata] An anal fissure or rectal fissure is a break or tear in the skin of the anal canal. Anal fissures may be noticed by bright red anal bleeding on toilet paper, sometimes in the toilet. If acute they may cause pain after defecation but with chronic fissures pain intensity is often less. Anal fissures usually extend from the anal opening and are usually located posteriorly in the midline, probably because of the relatively unsupported nature and poor perfusion of the anal wall in that location.