Pelvic rectal abscess
Introduction
Introduction to pelvic rectal abscess The pelvic rectal abscess develops from the anal canal and the abscess around the rectum. Although rare, it is very important. Because the patient's conscious local symptoms are not obvious, and the systemic symptoms are significant, early diagnosis often has delays. This disease is often caused by proctitis, rectal ulcer and rectal trauma. It can also be caused by intermuscular abscess or ischial rectal abscess. The onset is slow. The early symptoms are only rectal bulging. Especially when you are defecation, you sometimes have urination. difficult. basic knowledge The proportion of sickness: 0.01% Susceptible people: no specific population Mode of infection: non-infectious Complications: pelvic inflammatory disease pelvic abscess
Cause
Causes of pelvic rectal abscess
Most infections originate from the rectal wall of the anal canal, such as anal cryptitis. Sharp foreign bodies in the feces can damage the intestinal wall and cause infection. Because the interstitial is a fatty loose tissue, once the infection is easily spread, it can be extended to both sides.
Prevention
Pelvic rectal abscess prevention
Hot water bath can relieve symptoms, treat it early in the infection, and prevent infection of surrounding tissues.
Complication
Pelvic rectal abscess complications Complications pelvic inflammatory pelvic abscess
Abscess ulceration causes infection of the pelvic cavity and its surrounding tissues.
Symptom
Symptoms of pelvic rectal abscess Common symptoms Rectal anal pain, discomfort, anal burning
Infection is often caused by proctitis, rectal ulcer and rectal trauma. It can also be caused by intermuscular abscess or rectal abscess of the ischial bone. The onset is slow. The early symptoms are only rectal swell, especially when dying, sometimes dysuria. , check: there is no abnormality around the anus, but the rectal examination can be found in the upper side of the upper rectum, there is infiltration, tenderness, bulging, and even fluctuations. The diagnosis mainly relies on puncture and pus, positioning the finger in the rectum, from the skin around the anus. Needle puncture, if necessary, an anal canal ultrasound examination to assist in diagnosis.
Examine
Examination of pelvic rectal abscess
1. Shallow part: Abscess manifests as local redness, swelling, heat, pain and tenderness, and then fluctuates.
2. Deep: The abscess is a local diffuse swelling, pain and tenderness, and the fluctuation is not obvious. The puncture can be taken out by the test puncture, and it can also be used as an ultrasound consultation.
3. Blood routine blood culture: white blood cells and neutrophils rise, especially bacterial liver abscess can reach 20-30X109/L, and amoebic abscess can even find amoeba cysts or trophozoites. Enzyme-linked immunosorbent assay (ELISA) for the determination of anti-amebic antibodies in blood can help determine the nature of abscesses, with a positive rate of 85-95%. Liver puncture amebic liver abscess can extract chocolate pus; bacterial can extract yellow-green or yellow-white pus, culture can obtain pathogenic bacteria.
Diagnosis
Diagnosis and diagnosis of pelvic rectal abscess
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
1 ischial rectal abs abscess.
2. Rectal posterior fossa abscess.
3. Intestinal submucosal abscess.
