paraproctitis

A B B D E F G And K L M N O U R C T Y P X C H W E I

Abscess - an inflammation pararectal (okolopryamokishechnoy) fiber. As a rule, called a mixed microflora (Staphylococcus combined with E. coli).

Acute abscess. His reason is the introduction of pathogens, infection adrectal tissue of the anal crypts anal glands by melting the walls with the latest and involvement in the process of tissue surrounding the rectum. The cause of acute abscess may also be damage to the rectal wall with subsequent inflammation adrectal fiber (traumatic abscess).

The characteristic symptoms of acute subcutaneous or submucosal abscess are pain in the anus, fever, presence of inflammatory, sharply painful to palpation education - an abscess. The diagnosis of superficial forms of acute abscess is set based on inspection and palpation of the perineum and anus and rectal examination. Deep shapes (retrorektalny, ishiorektalny and pelviorektalny) diagnosed by digital rectal examination. In the initial stage of the disease is dominated by symptoms of intoxication (high body temperature, weakness, and others.).

Treatment is usually surgery - opening an abscess, followed by drainage and the elimination of the entrance gate of infection in the wall of the rectum. Only in the early stages of the disease, when there is only an inflammatory infiltrate, probably conservative treatment (cold, antibiotics, UHF therapy, ultraviolet irradiation, etc..).

Chronic abscess occurs as a consequence of acute and characterized by the formation of a fistula of the rectum. Outside the fistula opens increasingly in the crotch area, at least in the gluteal region. Over time, scar around the fistulous process progresses, there are extra branches and its purulent cavity. Perhaps dysfunction of anal sphincter incontinence manifests intestinal contents. Surgical treatment - the elimination of the inner hole and the fistulous.