Anal abscess – a trivial disease or a serious one?

M. Kołodziejczak, P. Ciesielski
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Abstract

A patient who reports to the hospital due to anal abscess is often treated as not seriously ill, although in about 40% of cases, abscess may initiate anal fistula development, and the one that is not or insufficiently emptied, may also cause septic complications that directly threaten patient’s life. The majority of inflammatory diseases in the rectum, including abscesses and anal fistulae, are a growing infection in the anal crypts. In recent years, a large group of patients with rectal abscesses have been patients with inflammatory bowel diseases, as well as immunocompromised patients, e.g. in the course of HIV infection. The anal abscess in any case should be urgently treated by its opening and drainage. The majority of patients with rectal abscesses should be admitted to the hospital and operated in the operating block, in adequate anesthesia (regional or general). The article discusses recommendations for the opening of low and high abscesses, postoperative management and possible complications associated with this disease and its inappropriate treatment. An abscess of the anus, generally considered a trivial disease, treated inappropriately, can cause serious complications.
肛门脓肿——是小病还是大病?
由于肛门脓肿而到医院就诊的患者通常被视为病情不严重,但在约40%的病例中,脓肿可能引发肛瘘的发展,而没有或没有充分排空的脓肿也可能导致脓毒性并发症,直接威胁患者的生命。直肠的大多数炎症性疾病,包括脓肿和肛瘘,都是肛门隐窝的一种日益增长的感染。近年来,直肠脓肿患者中有很大一部分是炎症性肠病患者,以及免疫功能低下的患者,如HIV感染过程中的患者。肛门脓肿在任何情况下应紧急处理,其开放和引流。大多数直肠脓肿患者应住院并在手术区进行手术,麻醉(局部或全身)充足。本文讨论了低位和高位脓肿切开的建议、术后处理、可能的并发症以及不适当的治疗。肛门脓肿通常被认为是一种微不足道的疾病,如果治疗不当,可能会导致严重的并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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