[Anal suppurations].
Anal suppurations can be classified according to their origin: from the anal canal, from above the anal canal, or independent from the ano-rectum. Wherever suppuration comes from, an abscess can be present at the acute phase. Anal fistulas represent about 70% of anal suppurations. They always begin by cryptoglandular infection, which can spread to the intersphincteric space and then pass through the anal sphincter. Treatment of anal fistula is a double challenge: healing the suppuration, and preserving anal continence. Among suppurations independent from the ano-rectum pilonidal disease is the most frequent (15% of the suppurations). Other causes of ano-perineal suppurations are infected fissure, Verneuil's disease, and gland, recto-vaginal fistulas and Crohn's disease.
Senéjoux
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Service de colo-proctologie Hôpital Léopold Bellan 75674 Paris. asenejoux@fc.horus-medical.fr
D000038:Abscess / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001004:Anus Diseases / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D003937:Diagnosis, Differential; D005242:Fecal Incontinence; D006801:Humans; D012003:Rectal Fistula / Q000150:complications* / Q000382:microbiology / Q000628:therapy; D013492:Suppuration / Q000209:etiology
D000900:Anti-Bacterial Agents