Assessment of sphincter integrity using intraoperative endoanal ultrasound after bull horn injury to the perianal area

Author(s):  
Ander Timoteo Delgado ◽  
Laia Falgueras Verdaguer ◽  
Anna Pigem Rodeja ◽  
Ramon Farres Coll
2020 ◽  
Vol 99 (9) ◽  

Introduction: Perianal hidradenitis suppurativa is a chronic recurrent inflammatory, suppurative, and fistulising disease of apocrine glands, adjacent anal canal and soft tissues. Perianal area is the second most common affected area after axilla. There are three grades of the disease. Hidradenitis suppurativa represents a chronic, recurrent, deep-seated folliculitis resulting in abscesses, followed by the formation of sinus tracts and subsequent scarring. Perianal hidradenitis suppurativa is the last and the most serious grade of the disease and a specific access is needed for patient preparation and surgical treatment alone. The currently preferred method of treatment for patients with extensive perianal hidradentitis is excision and closure with combination of skin flaps, primary suture and skin graft in one or two stages. Case reports: There are three case reports of perianal hidradenitis suppurativa in this article. The local and overall initial treatment of patients followed by a radical excision and closure with a rotation skin flaps and skin grafts is described. The final results were satisfactory, with no recurrence or serious complication.


2020 ◽  
Vol 13 (11) ◽  
pp. e236896
Author(s):  
Matthew Pizzuto ◽  
Sarah Ellul ◽  
Mohamed Shoukry

A 14-year-old boy, a known case of perinatal hypoxic cerebral palsy, presented to paediatric emergency with acute melaena and blood staining around feeding gastrostomy site. Physical examination revealed pallor, but no signs of distress with an unremarkable abdominal examination. Routine blood tests revealed normochromic. Abdominal ultrasound scan and Meckel’s scan were unremarkable. The patient underwent examination under anaesthesia of the perianal area and joint upper and lower gastrointestinal endoscopy. Streak-like gastritis with no signs of active bleeding lesions were noted and patchy areas of colitis involving the descending and sigmoid colon and the rectum. All clinical findings and evidence-based diagnosis matched gastric antral vascular ectasia. He was successfully managed conservatively with elemental hydrolysed feeding formula.


2021 ◽  
pp. 176-183
Author(s):  
Thanachat Rutnumnoi ◽  
Charussri Leeyaphan

Extramammary Paget’s disease (EMPD) is a rare intraepithelial neoplasm that occurs in apocrine-bearing areas of skin. Most EMPD patients initially present with chronic pruritic eczematous lesions involving genitalia, perineum and perianal area. Familial form of EMPD is extremely rare. Several genetic mutations have been proposed but specific modes of inheritance are still unknown. This article reports two cases of familial extramammary Paget’s disease in female siblings.


2008 ◽  
Vol 23 (5) ◽  
pp. 1054-1057 ◽  
Author(s):  
Jacopo Martellucci ◽  
Gabriele Naldini ◽  
Caterina Colosimo ◽  
Luca Cionini ◽  
Mauro Rossi

2017 ◽  
Vol 37 (3) ◽  
pp. 225-231
Author(s):  
Ahmad Izadpanah ◽  
Ensieh Izadpanah ◽  
Mehrzad Lotfi ◽  
Alamtaj Samsami ◽  
Alireza Safarpour ◽  
...  

2009 ◽  
Vol 337 (5) ◽  
pp. 336-339 ◽  
Author(s):  
Savio C. Reddymasu ◽  
Shailender Singh ◽  
Sana Waheed ◽  
Melissa Oropeza-Vail ◽  
Richard W. McCallum ◽  
...  

2006 ◽  
Vol 38 (8) ◽  
pp. 537-543 ◽  
Author(s):  
R.J.F. Felt-Bersma

2015 ◽  
Vol 27 (6) ◽  
pp. 787
Author(s):  
Dong Yeup Lee ◽  
Jong Heon Baek ◽  
Dong Joo Kim ◽  
Soo Kyung Lee ◽  
Myoung Shin Kim ◽  
...  

Author(s):  
Dilge Sila Davulcu ◽  
Sule Yilmaz ◽  
Onur Ceylan ◽  
Bilal Dik

Introduction: The infestation of live humans and animals with dipterous larvae is called Myiasis. These larvae feed on the living or dead tissues, body fluids, and ingested foods of hosts at least for a certain period in myiasis cases. Case Presentation: During clinical examination, several larvae were detected in the perianal area of a goat at Selcuk University, Faculty of Veterinary Medicine, Internal Medicine Clinics. All visible larvae were cleaned by the clinician with the help of forceps. Ivermectin administered against larvae possibly penetrated deep into the wound. A topical antibiotic was also applied, and the wound was washed with an antiseptic solution. Several larvae were preserved in tubes including ethanol (70%) and transferred to parasitology laboratory. Firstly, the larvae were incised with a scalpel and cleared in potassium hydroxide (10%). Then, they were rinsed in distilled water, put into 70% ethanol for dehydration, and stored in 99% ethanol until dissection. The larvae were morphologically examined under a stereo microscope and dissected. The larvae were identified as third instar larvae of Wohlfahrtia magnifica according to the morphological characteristics of cephalo-pharyngeal skeleton, anterior spiracles, and peritremes. Conclusion: It should be kept in mind that in myiasis cases, early diagnosis is a very important factor in preventing deep tissue loss.


Sign in / Sign up

Export Citation Format

Share Document