scholarly journals Seton treatment of perianal fistula with high anal or rectal opening

1995 ◽  
Vol 82 (7) ◽  
pp. 895-897 ◽  
Author(s):  
W. F. Van Tets ◽  
J. H. C. Kuijpers
Keyword(s):  
2020 ◽  
Vol 27 (2) ◽  
pp. 133-138
Author(s):  
Lucian Sorin ANDREI ◽  
◽  
Adriana ANDREI ◽  
Radu Sorin POPISTEANU ◽  
Gabriel BECHEANU ◽  
...  

Cancers ◽  
2021 ◽  
Vol 13 (6) ◽  
pp. 1445
Author(s):  
Andromachi Kotsafti ◽  
Melania Scarpa ◽  
Imerio Angriman ◽  
Ignazio Castagliuolo ◽  
Antonino Caruso

Perianal fistulizing Crohn’s disease is a very disabling condition with poor quality of life. Patients with perianal fistulizing Crohn’s disease are also at risk of perianal fistula-related squamous cell carcinoma (SCC). Cancer arising at the site of a chronic perianal fistula is rare in patients with Crohn’s disease and there is a paucity of data regarding its incidence, diagnosis and management. A systematic review of the literature was undertaken using Medline, Embase, Pubmed, Cochrane and Web of Science. Several small series have described sporadic cases with perianal cancer in Crohn’s disease. The incidence rate of SCC related to perianal fistula was very low (<1%). Prognosis was poor. Colorectal disease, chronic perianal disease and HPV infection were possible risk factors. Fistula-related carcinoma in CD (Chron’s disease) can be very difficult to diagnose. Examination may be limited by pain, strictures and induration of the perianal tissues. HPV is an important risk factor with a particular carcinogenesis mechanism. MRI can help clinicians in diagnosis. Examination under anesthesia is highly recommended when findings, a change in symptoms, or simply long-standing disease in the perineum are present. Future studies are needed to understand the role of HPV vaccination in preventing fistula-related cancer.


Author(s):  
Ashraf Talaat Youssef

Abstract Background The intersphincteric plane (ISP) is a potential space between the external and the internal anal sphincters. About 90% of the perianal sepsis is caused by an obstruction of the ducts of anal glands with subsequent secondary bacterial infection. The imaging modalities used to diagnose perianal sepsis are the ultrasound via endoanal and transperineal routes and magnetic resonance imaging. Objective  The study aimed to identify the various patterns of the ISP sepsis and their incidence among our study group and to clarify the significance of ISP in the pathogenesis of anorectal abscesses and various types of perianal fistula tracts, to optimize the surgical management. Methods Retrospective descriptive study in which 57 patients with an ISP sepsis were evaluated with full medical history, clinical exam, and ultrasound; the final diagnosis was based on combining the results of ultrasound, digital rectal examination under anesthesia, and the operative results. Results The current study showed many patterns of the ISP sepsis and estimated the incidence of each pattern among our study group; such patterns could be fistula tracts, sinus tracts, abscesses, intersphincteric abscess with supralevator extension, sinus with abscess formation, fistula with abscess formation, distension of the ISP with free pus, and other complex patterns like horse abscess, abscess with transsphincteric sinus, and ISP fistula/sinus with transsphincteric branches. Conclusion Understanding the role of the ISP in the pathogenesis of anorectal abscesses and perianal fistula tracts can help in reaching the optimum way of management.


2014 ◽  
Vol 34 (3) ◽  
pp. 185-188
Author(s):  
Suelene Suassuna Silvestre de Alencar ◽  
Romualdo da Silva Corrêa ◽  
Cátia de França Bezerra ◽  
Marcelo José Carlos Alencar ◽  
Cristiana Soares Nunes ◽  
...  

2017 ◽  
Vol 41 ◽  
pp. 56-57
Author(s):  
F.J. Pérez Lara ◽  
A. Ferrer Berges ◽  
H. Oehling de los Reyes ◽  
H. Oliva Muñoz

2013 ◽  
Vol 108 (10) ◽  
pp. 1666-1668 ◽  
Author(s):  
Mathieu Uzzan ◽  
Carmen Stefanescu ◽  
Léon Maggiori ◽  
Yves Panis ◽  
Yoram Bouhnik ◽  
...  

2008 ◽  
Vol 14 (Supplement) ◽  
pp. S266-S268 ◽  
Author(s):  
Ben Siemanowski ◽  
Miguel Regueiro
Keyword(s):  

IDCases ◽  
2022 ◽  
pp. e01397
Author(s):  
Shuaa Y. Mandili ◽  
Nashwa Alkhotani ◽  
Reham Alem ◽  
Weam M. Filfilan
Keyword(s):  

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