Paraproctitis

October 7, 2011

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Paraproctitis   (from the Greek. paraproctitis, from the Greek. paraproktos - «around the anus" and itis - «inflammation») - a purulent inflammation fiber Which surrounds the rectum. Paraproctitis disease is 15% of all lesions of the rectum. Distinguish acute   and chronic   form of the disease. Chronic paraproctitis   usually occurs after untreated acute form.

The disease is caused by the action of microorganisms - staphylococci . streptococci   and Proteus Entering into the rectum via the anal glands, cracks mucosa, as well as blood flow from the adjacent inflamed organ. Consequently, in the tissues there okolopryamokishechnyh abscess Around which is formed swelling and redness. Sometimes the cause of the disease may be a specific infection, e.g. tuberculosis . If left untreated, may develop a chronic abscess, the pus can get into the abdominal cavity. Treatment of abscess - operative, which should be conducted as soon as possible after the diagnosis of the disease.

The reasons are paraproctitis hemorrhoids . crypts , Choose anal fissures . Sometimes the abscess may be caused by manipulations that injure the anal canal, and poor personal hygiene.

Symptoms paraproctitis

By place of infection are 4 kinds of abscess - subcutaneous . submucosal . ischiorectal   and pelvic, rectal . Subcutaneous paraproctitis abscess located in the tissue next to the sphincter . Submucosal abscess purulent process characterized by an arrangement under the mucous membrane of the colon. In the field of tissue ischial ulcer is formed when ischiorectal paraproctitis. The most deeply penetrates inflammation in pelvic, rectal paraproctitis - in the pelvic tissue.

Paraproctitis Symptoms: swelling and redness, soreness space abscess formation, sharp pain, which intensified when walking, sitting, and sometimes during defecation. There is a weakness, signs of intoxication, the temperature - low-grade, there may be pain in the pelvic area. The extent and nature of the pain depends on the place of distribution of purulent process. Hardest general condition of patients suffering with deep ulcers located in the pelvis, and they are harder to detect.

If, after the appearance of unpleasant symptoms are not performed diagnosis and subsequent treatment of abscess, the pain tends to grow, there may be a delay of urine and stool. If you do not carry out the necessary treatment, the abscess may burst and pus gets into the peritoneum.

Paraproctitis usually ends in recovery if an autopsy ulcer healed in the intestinal wall, in other cases there is a chronic abscess, which is accompanied by the formation rectal fistula .

Diagnosis paraproctitis

Forecast abscess treatment depends on the degree of neglect of the disease. Surgeon or coloproctologist   listen to patient complaints, conduct a digital rectal examination. Diagnose subcutaneous abscess is not difficult, is visible when viewed from infiltration and redness, tenderness. Submucosal type of abscess diagnosed as rectal digital examination, which revealed a painful seal in one of the walls of the intestine. To diagnose the other two types of disease applied ultrasonography .

Treatment paraproctitis

The disease is treated only by surgery. The surgical department opened the abscess, the pus is removed. Pain immediately subside and the patient is recovering. However, it is likely that formed a fistula, and will have to carry out another operation. Coloproctology usually carried out radical surgery, except when opening the abscess also eliminated its relationship with oral cancer. This operation leads to a full recovery.

After surgery, patients are encouraged to light diet Regulating chair drugs, vitamins, warm sitz baths, physiotherapy . It may also be prescribed a course of antibiotics.

Surgical treatment of abscess has a favorable prognosis, subject to the timely operation qualified doctor.

Complications paraproctitis

If the abscess is not treated promptly, it can lead to chronic abscess, sepsis , Inflammation can go to other organs of the urogenital system. Complications abscess may occur in the development of purulent destruction of the walls of the rectum in men observed damage to the wall of the urethra, and women may get pus in the vagina. Therefore, treat the abscess should be as soon as possible.