1,778 results match your criteria: "Perianal Abscess"

Article Synopsis
  • The study investigates whether sepsis impacts tissue around the anal canal by creating 3D models of anorectal abscesses using MRI scans.
  • A total of 42 patients diagnosed with anorectal abscesses were analyzed, with scans taken before and after surgery to examine pelvic floor and perianal tissue damage.
  • The results showed no significant changes in the volumes of internal and external sphincters or levator ani muscle, indicating that these structures remained undamaged by the infection.
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Perineal Disintegration Syndrome (PDS) in Children With Human Immunodeficiency Virus (HIV) Infection: A Scoping Review.

J Pediatr Surg

November 2024

Department of Surgery, School of Clinical Medicine, Faculty of Health Sciences, University of the Free State, Bloemfontein, South Africa.

Background: Paediatric healthcare for children with HIV involves managing complex challenges, including severe perineal issues that significantly affect their quality of life. We introduce the term "perineal disintegration syndrome" (PDS) to describe conditions characterised by abscesses and various fistulae involving the anus, rectum, urethra, or reproductive tracts. The literature on PDS is limited and lacks a standardised treatment approach and universally accepted terminology.

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Article Synopsis
  • - Crohn's disease (CD) is a chronic inflammatory bowel disorder with symptoms like abdominal pain and diarrhea, affecting 100-300 per 100,000 people, mainly in Western countries.
  • - Recent clinical trials, like VIVID-1, found that the drug mirikizumab significantly outperformed placebo in treating CD, showing better clinical response and remission rates compared to ustekinumab and other treatments like risankizumab.
  • - Mirikizumab's promising results suggest it could be a valuable addition to CD therapies, highlighting the need for further research on its long-term safety and effectiveness, as well as updated guidelines for better patient access.
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Characterization of Risk Factors Affecting the Recurrence of Perianal Abscesses and Complications.

Isr Med Assoc J

August 2024

Department of General Surgery, Rambam Health Care Campus, Haifa, Israel, Department of Colorectal Surgery, Rambam Health Care Campus, Haifa, Israel, Rappaport Faculty of Medicine, Technion-Israel Institute of Technology, Haifa, Israel.

Article Synopsis
  • Perianal abscess is a common condition that requires early drainage for effective treatment, but information on factors affecting recurrence and complications is limited.
  • A study analyzed 983 patients treated for perianal abscess from 2011-2020, revealing that factors like Crohn's disease, smoking, and shorter symptomatic periods were linked to higher recurrence rates.
  • The findings suggest that timely surgical intervention is crucial, and having more experienced surgeons does not significantly impact the recurrence of abscesses.
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A 36-year-old unmarried male chef was incidentally diagnosed with hypokalemia during an evaluation for an acute perianal abscess. Despite potassium supplementation, he developed progressive weakness in his lower limbs, culminating in an inability to stand. Investigations confirmed severe hypokalemia, metabolic alkalosis, hypomagnesemia, secondary hyperaldosteronism, and low urinary calcium excretion, with normotension.

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is an uncommon Clostridium but is one of the essential anaerobic bacteria that makes up the intestinal microbiota. A highly variable body temperature, the white blood cell count, or an elusory prognosis can reflect infection, especially in patients with Fournier's gangrene. Fournier's gangrene is a rare soft-tissue infection with necrosis that occurs mainly in the perianal and genital regions, males being more susceptible.

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Article Synopsis
  • The text talks about a new surgery technique called "firebreak" drainage, which helps treat a serious infection called Fournier's gangrene without removing too much skin.
  • This method involves carefully cutting away infected tissue and then draining the area to help it heal.
  • In a study of 11 patients, all of them recovered, and they spent an average of 22 days in the hospital, with most healing well and keeping their normal body functions!
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Butyricimonas faecihominis: an atypically resistant bacterium implicated in abscess formation - a case report.

BMC Infect Dis

July 2024

Institute for Medical Microbiology, Immunology and Hygiene, Faculty of Medicine and University Hospital Cologne, University of Cologne, University Hospital Cologne, Goldenfelsstr. 19 -21, 50935, Cologne, Germany.

Background: This case report presents a unique instance of abscesses with an uncommon pathogen isolated from blood cultures.

Case Presentation: We present the case of a perianal abscess in a 50-year-old man with a history of cocaine abuse and bilateral hip replacements. The rapid progression led to septic shock and multi-organ failure, requiring intensive care unit admission, surgery including protective transversostomy.

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Pseudoaneurysms of the middle rectal artery are rare. When encountered, these have the potential for significant morbidity and mortality due to bleeding and potential rupture. Endovascular embolization is a feasible option in the management of these pseudoaneurysms.

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Auricular point acupressure for managing postoperative pain and reducing anxiety in patients with perianal abscesses.

Explore (NY)

September 2024

Department of Chinese Medicine, Affiliated Hospital 2 of Nantong University, Nantong First People's Hospital, Nantong 226001, PR China.

Objective: The objective of this study is to assess the efficacy of auricular point acupressure in relieving postoperative pain and reducing anxiety among patients with perianal abscesses.

Methods: We included 61 patients with perianal abscesses who were admitted to the Nantong First People's Hospital between July 2019 and June 2020 and were scheduled to undergo one-stage radical surgery. We divided them into the treatment group (n = 31), where patients were administered preoperative auricular acupressure targeting the bilateral Shenmen, subcortical, and other points.

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Septic Pulmonary Embolism Secondary to Perianal Abscesses: A Case Report.

J Pharm Bioallied Sci

April 2024

Department of Medicine, Unaizah College of Medicine and Medical Sciences, Qassim University, Unaizah, Buraydah, Kingdom of Saudi Arabia.

Septic pulmonary embolism (SPE) represents the occurrence of septic thrombi in circulation, originating from an extrapulmonary infectious source. Perianal and perirectal abscesses are frequently encountered anorectal issues, often stemming from obstructed anal crypt glands, resulting in pus accumulation within the subcutaneous tissue and intersphincteric plane. Timely surgical drainage is essential upon diagnosis of anorectal abscesses.

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Persistent ischiorectal fistula secondary to rectal extrusion of posterior vaginal mesh: Case report.

Eur J Obstet Gynecol Reprod Biol

August 2024

Servicio de Obstetricia y Ginecología, Hospital Clínico Universitario de Valladolid, Gerencia Regional de Salud de Castilla y León (SACYL), Spain; Departamento de Pediatría e Inmunología, Obstetricia y Ginecología, Nutrición y Bromatolo-gía, Psiquiatría e Historia de la Ciencia, Facultad de Medicina, Universidad de Valladolid, Spain.

Introduction And Hypothesis: Vaginal mesh has been used for years to try to improve the results of pelvic organ prolapse surgery, but current evidence does not confirm this improvement and instead describes serious and frequent adverse events.

Clinical Case: 64-year-old patient with rectal extrusion of posterior vaginal mesh placed 8 years earlier, and persistent left ischiorectal fistula refractory to surgery. She required 5 surgeries, carried out jointly between gynecology and general surgery, to solve, firstly, the bilateral perianal abscess secondary to extrusion of the posterior vaginal mesh into the rectum and then the persistent left ischiorectal fistula, despite the removal of the material prosthetic.

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Endometriosis presenting as a perianal abscess: case report.

J Surg Case Rep

June 2024

MioGreensumer Pathology Clinic, Room 705, Seochangvisionplaza Bldg., 55, Seochangbangsan-ro, Namdong-gu, Incheon 21617, South Korea.

Endometriosis is common benign disorder characterized by the presence of endometrial glands and stroma outside the uterine cavity. Endometriosis of perianal region is a rare condition. We report a case of perianal endometriosis presenting initially as a perianal abscess.

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Background: Vaccine-associated paralytic poliomyelitis (VAPP) is a rare adverse event of oral poliovirus vaccines (OPV), particularly affecting immunodeficient individuals.

Research Design And Methods: This study aimed to (1) Assess the association between OPV and VAPP using Vaccine Adverse Event Reporting System (VAERS) database (2) Outline patient characteristics and risk factors associated with the occurrence of VAPP in OPV recipients through a systematic review of case reports and case series. A disproportionality analysis was conducted using the data from VAERS, encompassing adverse events reported from 1990 till February 2023.

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Inflammatory bowel disease is rare in infants and it includes perianal Crohn's disease, which is inflammation at or near the anus. An early diagnosis is essential to prevent the complications that may affect the development and growth of the child.

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Does microbiology of perianal abscesses affect the length of hospital stay?

Am J Med Sci

October 2024

Surgical Division, Hillel Yaffe Medical Center, Hadera, Israel, affiliated with Rappoport Medical School, Technion, Haifa, Israel.

Background: Perianal abscess is a common disease among adults, necessitating surgical drainage. We aimed to assess the role of microbiology and other factors in prolonged hospitalization of patients with perianal abscesses.

Methods: This retrospective study included all patients aged 18 or older who underwent surgical incision and drainage for perianal abscess in a single medical center between 2016 and 2020.

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Background: Perianal abscess is a clinical infective and/or inflammatory collection in the perianal region, one entity of a large group of anal and perianal disorders. Perianal abscesses are often seen as a complication of grade 2 and grade 4 perianal fistulas from St. James's University Hospital classification.

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Article Synopsis
  • * A case study of an adult male revealed symptoms like abdominal and anal pain, with endoscopic findings showing significant inflammation and lesions in the sigmoid colon and rectum, including hyperemia, ulcers, and evidence of Schistosoma parasites.
  • * Endoscopic and histopathological examinations are crucial in distinguishing CIS from other conditions like Crohn's disease, highlighting the importance of early detection and treatment to reduce complications.
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Thrombotic thrombocytopenic purpura (TTP) is a rare but potentially life-threatening hematologic disorder characterized by hemolytic anemia, thrombocytopenia, renal failure, fever, and neurologic dysfunction. While cases often do not present with all five characteristics (<5%), TTP can be hereditary or acquired, often due to a deficiency or dysfunction of the ADAMST13 enzyme. Here, we describe a case of infection-induced acquired TTP in a middle-aged male with urinary tract infection (UTI) and perianal abscess.

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Article Synopsis
  • * Researchers analyzed data from 156 patients treated surgically for perianal infections at a hospital in China between 2018 and 2022, revealing that the majority had various types of infections, with a notable number experiencing severe postoperative complications.
  • * The findings suggest that surgical intervention may improve prognosis in certain cases, particularly when medical therapy fails, but complications can be reduced by addressing blood count issues before surgery.
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Article Synopsis
  • The study focused on the impact of surgery for benign anorectal conditions, including hemorrhoids and anal fissures, on sexual function in male patients.
  • Sixty-one men with perianal fistulas participated by completing a questionnaire that included the International Index of Erectile Function (IIEF) score.
  • Results showed that the median IIEF score post-surgery was significantly better (24) compared to pre-surgery (22), indicating that surgery has a positive effect on sexual function.
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Deep-tissue extension of perianal and perirectal abscesses, while rare, requires timely diagnosis and emergent surgical intervention to prevent serious secondary complications. This report evaluates a case of intra-abdominal and extraperitoneal extension of a persistent perirectal abscess that required comprehensive irrigation, drainage, and debridement of multiple abscess-associated cavities. This report follows the case of a 24-year-old African-American female presenting to the ED with mild fevers, nausea, abdominal distension, and lower abdominal pain following a persistent perirectal abscess that had not resolved following conservative outpatient antibiotic management one week prior.

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Article Synopsis
  • * A 38-year-old man developed severe Fournier's gangrene linked to an initial perianal abscess, which deteriorated to septic shock and multiple organ failure despite aggressive treatment efforts including surgery and antibiotic therapy.
  • * The diagnosis of perianal tuberculosis was confirmed through biopsies, highlighting the need for awareness of its potential role in complicated cases of Fournier's gangrene and the challenges in managing such coexisting conditions.
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Perianal endometriosis is a rare clinical presentation of the extrauterine appearance of endometrium reported in <1% of the cases. The condition is accompanied by perianal cyclic pain and a palpable mass. If diagnosed by physical examination only, the condition may be easily misinterpreted as a perianal abscess and treated improperly with incision, thus resulting in "abscess recurrence.

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