paranephritis

Purulent inflammation of the diffuse nature in the perinephric tissue. It is a secondary disease due to the transition of the inflammatory process with the various organs of the abdominal cavity.
It starts with pain in the lumbar area of ​​the right or left, chills, fever. Then the pain intensifies, joins the swelling, redness, infiltration, fluctuation. The diagnosis helps puncture perinephric fat.
Treatment operative - an autopsy ulcer, antibacterial and detoxification therapy.
Paraproctitis. Purulent inflammation of tissue around the rectum and anus. Called a mixed flora -. Various combinations of gold and white staphylococci, streptococci, enterococci, E. coli, anaerobic bacilli and other microbes penetrate adrectal tissue through cracks or scratches the skin in the anus, inflamed hemorrhoids, mucosal lesions of the rectum, and others. The disease is more common in men.
Silttomy and over. Phlegmon adrectal region characterized by severe clinical course. Spreading by subcutaneous or paraproctium, inflammation often leads to tissue necrosis. There are the following forms of abscess: a) subcutaneous, b) the submucosa in) sedalischnorektalnuyu, d) pelvic-proctal and d) retrorektalnuyu.
Subcutaneous abscesses are located near the anus. Patients feel a sharp pain, marked swelling and redness of the skin.
Submucosal abscess localized in the submucosal layer of the rectum, above morganevyh flaps or anorectal line. With manual research can determine the swelling and pain in the zadneprohodgo holes. Unlike subcutaneous abscesses pain is less intense. The process can be extended down to the subcutaneous and upward into the overlying submucosal tissue of the rectum. This is called an abscess podkozhnopodslizistym. Diagnosis with submucosal ulcers pose no difficulty.
Sciatic-rectal abscesses occur with severe general phenomena. The process localized in the tissue sedalischnopryamokishechnoy fossa extends behind the rectum to the other side, before reaching the prostate and heading up, captures the pelvic tissue. For the clinic this form is characterized by throbbing pain, high fever, sometimes chills, swelling and redness of the skin in the crotch area, severe intoxication.
Pelvic, rectal abscesses are rare. The process is above the pelvic floor, but can be localized and low in the front, rear and sides of the rectum. The disease first occurs without external signs in the anus.
Retrorektalnye abscesses form when entering the microbes in the lymph nodes. They are located behind the first in the tissue of the rectum, and then may go down in ishiorektalnuyu fiber. The disease usually begins with a sudden pain in the rectal area, high temperature and poor general condition.
In all forms of abscess requires urgent opening of the abscess with a good drainage of purulent cavities. In the first 2 days after surgery the patient is given only the fluid, and since 3 days, prescribed diet, poor slag. Carry out a course of antibiotics.
Paraphimosis. Infringement of the glans penis push back the foreskin, phimosis is observed at.
Within a few minutes there is severe pain, swelling and sipyushnost head. In place of the infringement formed deep noose. In the first minutes after the infringement is necessary to make a careful attempt vprapleniya glans: gently pressing down on the head, to try to pull her foreskin. In case of failure, you should immediately consult a surgeon or urologist. If this is not done, there may be gangrene of the penis. If it is impossible vpravlepiya treatment - surgery alone. Prevention - timely treatment of phimosis.