ischiorectal fossa abscess
Introduction
Introduction to the ischial rectal abscess Anal canal, acute suppurative infection in or around the soft tissue around the rectum, and the formation of abscess, called anal canal, abscess around the rectum. It is characterized by self-rupture, or anal fistula often formed after surgical incision and drainage. It is a common anorectal disease, and it is also an acute phase of anal canal and rectal inflammation. The anal fistula is a chronic phase. Common pathogens include Escherichia coli, Staphylococcus aureus, Streptococcus and Pseudomonas aeruginosa, occasionally anaerobic bacteria and Mycobacterium tuberculosis, often mixed infections of multiple pathogens, the ischial rectal fossa is more common, mostly infected by anal gland The external sphincter spreads outward to the space of the ischial rectum. basic knowledge The proportion of illness: 0.002% Susceptible people: no specific population Mode of infection: non-infectious Complications: anal fistula
Cause
Cause of ischial rectal abscess
Cause:
Overeating spicy and sweet, alcoholic wine Zibo products, damage the spleen and stomach, damp heat endogenous, long-lasting heat, heat wins meat rot, hair as sputum; or lung and kidney yin deficiency, damp heat turbidity condenses anus, stagnation heat wins meat rot, Acute suppurative infection occurs in the disease, anal canal, soft tissue around or around the rectum. Common pathogens are Escherichia coli, Staphylococcus aureus, Streptococcus and Pseudomonas aeruginosa, occasionally anaerobic bacteria And tubercle bacillus, often mixed with a variety of pathogens, ischial fossa is more common, mostly caused by anal gland infection through the external sphincter to the ischial rectal space.
Prevention
Prevention of ischial rectal abscess
1, eat less spicy, fat, Zibo crystal.
2, active treatment of related diseases, such as anal sinusitis, proctitis.
3. Treat as soon as possible after the illness to prevent the lesion from expanding.
Complication
Complication of the ischial rectal abscess Complications
If not cut in time, the abscess penetrates into the space around the anal canal and then passes through the skin to form a high anal fistula.
Symptom
Symptoms of the ischial rectal abscess common symptoms stagnation, loss of appetite, lack of persistence, chills, nausea, fever
The ischial rectal fossa is more common, and the anal gland infection is spread out through the external sphincter to the space of the ischial rectum. The abscess is deeper and wider than the perianal abscess. The volume is about 60-90 ml. The affected side has persistent pain. Gradually aggravated, fidgeting, can also have symptoms of systemic infection, such as fatigue, fever, loss of appetite, even chills, nausea, etc., sometimes with reflective dysuria, due to deep infection, initial local signs are not obvious, later affected side Local redness and swelling, sometimes deep tenderness, rectal examination, tenderness of the affected side, and even a sense of fluctuating; if not cut in time, the abscess penetrates into the space around the anal canal, and then penetrates through the skin to form a high anal fistula. .
Examine
Examination of the ischial rectal abscess
The total number of white blood cells in the blood is more than 10X10^9, and the neutrophils are more than 70%. The abscess range is deeper and wider than the perianal abscess, and the volume is about 60-90 ml. Suffering from persistent pain on the affected side, gradually worsening, restlessness, and symptoms of systemic infection, such as fatigue, fever, loss of appetite, and even chills and nausea.
Sometimes there is difficulty in reflex urination. Due to the deep infection location, the initial local signs are not obvious, and later the local redness of the affected side, sometimes deep tenderness. Rectal examination, there is a tender mass on the affected side, and even a sense of fluctuation.
Diagnosis
Diagnosis and diagnosis of ischial rectal abscess
diagnosis
Diagnosis can be based on medical history, clinical symptoms, and laboratory tests.
Differential diagnosis
Mainly differentiated from anal fistula.
