Perineal fistula or sinus formation
Introduction
Introduction The formation of the perineal fistula or sinus is caused by localized enteritis. Occurred in the genital area of the vulva is a multiple ulcer, which is a chronic inflammatory disease of the gastrointestinal tract with unknown etiology. It is characterized by segmental specific lesions from the oral cavity to the digestive tract of the anus. Clinically, abdominal pain, diarrhea, abdominal mass, fistula formation and intestinal obstruction are characterized by fever, anemia, nutritional disorders and extraintestinal manifestations of joints, skin, eyes, oral mucosa, and liver.
Cause
Cause
The cause of the disease is not fully defined and may be related to the following factors:
1. Genetic susceptibility The disease has a high incidence in the same family, and the incidence among different races is also inconsistent. The incidence rate among Jews is significantly higher than that of other races, suggesting that its occurrence may be related to genetic factors, but it is found that Crohn's disease has Specific histocompatibility antigens appear.
2. Bacterial, fungal and viral infections may be associated with the onset of Crohn's disease, but there is no direct evidence to date.
3. Immunity factors.
Examine
an examination
Related inspection
Gynecological examination gynecological ultrasound examination vaginal gynecological routine examination gynecological routine examination gynecological health checkup
Most vaginal Crohn's disease is associated with colitis or a history of bowel resection. Crohn's disease vulvar lesions can be manifested as vulvar swelling, vulvar tenderness, perineal ulcer, skin cleft palate, skin blemishes, other rare symptoms, bilateral or unilateral vulvar hypertrophy, multiple erythema, vulvar abscess, perineal fistula or sinus Road formation and so on. Crohn's disease has a variety of vulvar lesions that are easily misdiagnosed, especially when there are no intestinal symptoms as the first symptom of Crohn's disease. More than half of patients will have menstrual abnormalities.
Diagnosis
Differential diagnosis
Perineal ulcer: The genital ulcer refers to the loss or exfoliation of the normal epithelium of the skin mucosa in the anus and genital area. It is a complex and diverse cause of genital ulcers, so it usually represents a variety of diseases including various skin diseases and sexually transmitted diseases. .
Female genital perineum appears red crusting plaque: female genital perineum appears red crusting plaque female Reiter syndrome symptoms, female Reiter syndrome is rare, female genital skin and mucosal rash is less common. Reiter syndrome is characterized by aseptic urethritis, conjunctivitis and multiple arthritis. It can be found in skin and mucous membranes of other skin and other organs. It often has fever before onset and is more common in adult males.
Perineal tearing: perineal III degree laceration or complete perineal laceration, including vaginal laceration, perineal laceration and anal sphincter laceration, severe rupture can extend to the rectal wall, causing stool and gas incontinence. The cause of the accident is due to improper handling during the delivery process, and occasional trauma. Due to the vigorous implementation of the new method, the birth attendant properly protects the perineum and greatly reduces the incidence of perineal III degree laceration. Occasionally occurred in large hospitals in the city.
