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Delayed diagnosis of perirectal horseshoe abscess and patient's perspective.
BMJ Case Rep
July 2024
Internal Medicine, The University of Texas Southwestern Medical Center, Dallas, Texas, USA.
This is a case of a woman in her 50s with HIV and uncontrolled diabetes who presented to the emergency department with urinary retention and a painful gluteal cleft lesion, admitted for cellulitis. Since initial CT and soft tissue ultrasound (US) were negative for fluid collection, the care team was surprised to find her symptoms continued to progress despite intravenous antibiotics. Finally, MRI 9 days into her admission demonstrated a 12-cm perirectal horseshoe abscess.
View Article and Find Full Text PDFNo Difference in the Pathogenic Microorganisms Among Different Types of Anorectal Abscesses: A Retrospective Study.
Cureus
March 2024
Department of Anorectal Surgery, Suzhou Traditional Chinese Medicine Hospital, Suzhou, CHN.
Objective: There is limited data on the pathogenic microorganisms associated with anorectal abscesses. The purpose of this study was to retrospectively analyze the types and quantities of pathogenic microorganisms in the pus cultures of patients with anorectal abscesses and to explore the correlation between pathogenic microorganisms and types of anorectal abscesses.
Methods: A retrospective analysis was conducted on the microbiological data of 517 inpatient surgical patients with anorectal abscesses treated at a single center from January 2017 to December 2021.
Horseshoe Abscess as a Rare Complication After Transanal Hemorrhoid Dearterialization With Mucopexy: A Case Report.
Cureus
December 2023
General Surgery, Huntington VA (Veterans Affairs) Medical Center, Huntington, USA.
Transanal hemorrhoidal dearterialization (THD) is a minimally invasive procedure that has gained popularity as a treatment for symptomatic hemorrhoids. It involves ligating the arterial blood supply to the hemorrhoidal plexus. Compared to conventional ligation or resection, THD is associated with less postoperative bleeding and pain, allowing for same-day surgery discharge.
View Article and Find Full Text PDFSecondary healing of horseshoe perianal abscess in a patient with morbid obesity: experience at a rural hospital.
Wounds
August 2022
Department of Surgery, Faculty of Medicine, Universitas Padjadjaran, Dr. Hasan Sadikin Central General Hospital, Bandung, Indonesia.
Introduction: Perianal abscess is defined as a local collection of pus in the perianal tissues. It is among the most common anorectal problems encountered by surgeons. Further extension of this infection into the unilateral or bilateral ischiorectal fossa leads to a horseshoe abscess.
View Article and Find Full Text PDFAnal fistula at roof of ischiorectal fossa inside levator-ani muscle (RIFIL): a new highly complex anal fistula diagnosed on MRI.
Abdom Radiol (NY)
December 2021
Department of Statistics, Indian Council of Medical Research, New Delhi, India.
Background: As experience with anal fistula imaging (MRI) has increased, new pathways of fistula extension have been identified. A recently described pathway is the 'outer-sphincteric space' present between the external anal sphincter and its covering outer fascia. A new type of complex fistula is being described which is present in the outer-sphincteric space and continues superiorly along the lateral border of the external anal sphincter to the infero-lateral surface of the puborectalis and levator-ani.
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