Dermatoses of the perianal area. Part 1

2021 ◽  
Vol 20 (3) ◽  
pp. 69
Author(s):  
A.A. Khryanin ◽  
D.R. Markaryan ◽  
T.N. Garmanova ◽  
V.K. Bocharova
Keyword(s):  
Perianal Area

Surgical treatment of extensive perianal hidradenitis

2020 ◽  
Vol 99 (9) ◽  
Keyword(s):  
Surgical Treatment ◽  
Hidradenitis Suppurativa ◽  
Soft Tissues ◽  
Case Reports ◽  
Radical Excision ◽  
Skin Flaps ◽  
Perianal Area ◽  
Apocrine Glands ◽  
Patient Preparation ◽  
Two Stages

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.

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

2021 ◽  
Author(s):  
Ander Timoteo Delgado ◽  
Laia Falgueras Verdaguer ◽  
Anna Pigem Rodeja ◽  
Ramon Farres Coll
Keyword(s):  
Endoanal Ultrasound ◽  
Perianal Area

Gastric antral vascular ectasia in children, rare presentation

2020 ◽  
Vol 13 (11) ◽  
pp. e236896
Author(s):  
Matthew Pizzuto ◽  
Sarah Ellul ◽  
Mohamed Shoukry
Keyword(s):  
Gastrointestinal Endoscopy ◽  
Abdominal Ultrasound ◽  
Clinical Findings ◽  
Evidence Based ◽  
Gastric Antral Vascular Ectasia ◽  
Perianal Area ◽  
Rare Presentation ◽  
Vascular Ectasia ◽  
Blood Tests ◽  
Abdominal Examination

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.

scholarly journals A Case Report of Familial Extramammary Paget's Disease in Female Siblings

2021 ◽  
pp. 176-183
Author(s):  
Thanachat Rutnumnoi ◽  
Charussri Leeyaphan
Keyword(s):  
Case Report ◽  
Paget’S Disease ◽  
Paget's Disease ◽  
Genetic Mutations ◽  
Extramammary Paget’S Disease ◽  
Perianal Area ◽  
Familial Form ◽  
Extramammary Paget's Disease

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.

scholarly journals Spitz Nevus on the Perianal Area of a Child: An Unusual Location

2015 ◽  
Vol 27 (6) ◽  
pp. 787
Author(s):  
Dong Yeup Lee ◽  
Jong Heon Baek ◽  
Dong Joo Kim ◽  
Soo Kyung Lee ◽  
Myoung Shin Kim ◽  
...  
Keyword(s):  
Perianal Area ◽  
Spitz Nevus ◽  
Unusual Location

scholarly journals Perianal Traumatic Myiasis in a Goat Caused by Wohlfahrtia magnifica (Schiner 1862) (Diptera: Sarcophagidae) in Konya Province of Turkey

2020 ◽  
Vol 1 (3) ◽  
pp. 73-75
Author(s):  
Dilge Sila Davulcu ◽  
Sule Yilmaz ◽  
Onur Ceylan ◽  
Bilal Dik
Keyword(s):  
Potassium Hydroxide ◽  
Morphological Characteristics ◽  
Tissue Loss ◽  
Perianal Area ◽  
Topical Antibiotic ◽  
Deep Tissue ◽  
Case Presentation ◽  
Antiseptic Solution ◽  
Stereo Microscope ◽  
Wohlfahrtia Magnifica

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.

scholarly journals Primary anorectal melanoma: a case of 5 year disease-free survival

2017 ◽  
Vol 4 (2) ◽  
pp. 768
Author(s):  
Monica Urbani ◽  
Marina Troian ◽  
Gabriele Bellio ◽  
Marina Bortul
Keyword(s):  
Radical Surgery ◽  
Disease Free Survival ◽  
White Female ◽  
Anal Pain ◽  
Anorectal Melanoma ◽  
Perianal Area ◽  
Free Survival ◽  
Tailored Treatment ◽  
Inguinal Lymphadenectomy ◽  
Disease Free

Anorectal melanoma is a rare cause of anorectal malignancies affecting mainly elderly people without significant gender differences, although there seems to be a white predominance. Diagnosis is often challenging, since symptoms are frequently nonspecific. Radical surgery is the mainstay of treatment, while adjuvant therapies are generally of limited value. Thus, prognosis is still grim, with a 5-year survival rate of less than 20%. We report the case of a 75-year-old white female presenting with mild anal pain and blood in stools. Diagnosed with an ulcerated melanoma of the perianal area, she eventually underwent an abdominoperineal resection and bilateral inguinal lymphadenectomy. To date, she is currently alive and disease-free. Given the lack of adequate international guidelines, we recommend defining a tailored treatment by thorough multidisciplinary discussion, as well as taking into account the patient personal preference.

The ‘transverse guard’ wound dressing technique to reduce faecal contamination after spinal surgery in neonates and infants

2020 ◽  
Vol 29 (12) ◽  
pp. S12-S15
Author(s):  
William B Lo ◽  
Katie Herbert ◽  
Desiderio Rodrigues ◽  
Fardad T Afshari
Keyword(s):  
Spinal Surgery ◽  
Wound Dressing ◽  
Simple Technique ◽  
Wound Care ◽  
Infection Rates ◽  
Perianal Area ◽  
Natal Cleft ◽  
Faecal Material ◽  
Faecal Contamination ◽  
Neonates And Infants

Wound care following lower spinal surgery in infants, especially open lumbosacral myelomeningocele (MMC) repair is challenging for a number of reasons: the babies' small size, uneven contour of the natal cleft, proximity of the wound to the perianal area, continuous soiling by loose/poorly-formed stool, and fragile skin. Faecal contamination of the wound can lead to infection, ascending meningitis and further morbidity. A single adhesive dressing does not reliably obliterate the space in the natal cleft and, therefore, does not prevent faecal material tracking rostrally underneath the dressing. This increases the risk of contamination and necessitates frequent wound dressing changes. The authors describe the use of the ‘transverse guard’, a simple technique routinely used in their unit that help overcome these problems. They also report on the wound infection rates of neonates undergoing open MMC repair who had the new dressings versus those who had conventional dressings.

scholarly journals Total excision and V-Y plasty technique in the anal area condyloma acuminatum

2008 ◽  
Vol 41 (01) ◽  
pp. 67-69
Author(s):  
Arif H. Demirel ◽  
Ali U. Ongoren ◽  
Ferruh BingÜl ◽  
Nevzat Gulcelik
Keyword(s):  
Human Papillomavirus ◽  
Anal Canal ◽  
Advancement Flap ◽  
Condyloma Acuminatum ◽  
Total Excision ◽  
Perianal Region ◽  
Perianal Area ◽  
Flap Technique ◽  
Venereal Transmission ◽  
Anal Area

ABSTRACTCondyloma acuminatum is located in the perianal region, anal canal, vagina and the perineum. It is caused by human papillomavirus types 6 and 11. A 18 year-old man was admitted to the clinic because of a perianal mass. On examination of the patient′s perianal area and inside the anal canal, a mass was found, which was nearly 8 x 8 cm in size. We could not obtain any information about venereal transmission. The mass was totally excised and the defect was reconstructed with a bilateral V-Y advancement flap. This technique has been used for sacrococcygeal, ischial and other defects but rarely used for condyloma acuminatum. We think that total excision and the use of the V-Y advancement flap technique is safe and has low morbidity in the treatment of condyloma acuminatum.

scholarly journals Syringocystadenocarcinoma Papilliferum in the Perianal Area

2015 ◽  
Vol 7 (2) ◽  
pp. 84-89 ◽  
Author(s):  
Natsuko Iga ◽  
Hiroko Fujii ◽  
Toshiya Miyake ◽  
Mizue Ehara ◽  
Satoshi Kore-eda
Keyword(s):  
Immunohistochemical Staining ◽  
Punch Biopsy ◽  
Perianal Area ◽  
Syringocystadenoma Papilliferum

Syringocystadenocarcinoma papilliferum (SCACP) is a very rare cutaneous adnexal neoplasm. SCACP presents histologic variability, and it is difficult to establish the diagnosis from a punch biopsy. SCACP has an overall configuration similar to that of syringocystadenoma papilliferum (SCAP). When we diagnose SCACP, the histologic features of SCAP can be contributing and immunohistochemical staining is useful. Our case shows the histologic variability of SCACP and the pitfalls of a punch biopsy for the diagnosis of SCACP.

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