Paraproctitis is a purulent inflammation,developing in fatty tissue, which is located around the rectum and anal sphincter. It can be chronic or acute. Acute paraproctitis occurs with the formation of suppuration in adipose tissue. The chronic can manifest itself with the pararectal fistula or fistula that surrounds the anus, and in most cases is formed after the acute paraproctitis has been transferred.
Forms of acute paraproctitis
Each of the forms of acute paraproctitis has its own characteristics, determined by the following species, which depend on the etiology of the disease:
Depending on the location of the fistula, ulcers and streaks, paraproctitis is distinguished:
Causes of paraproctitis
Among the factors that contribute to the development of paraproctitis, can be identified:
Symptoms of paraproctitis, acute
The acute form of paraproctitis can not be called ordinarysuppuration, which is formed in adrectal fiber. Needless to say, this is a banal suppuration, similar to an abscess or furuncle, which often form when an infection appears in the outer perianal area. Symptoms of paraproctitis are often manifested by the formation of purulent fistulas. For the acute form of the disease is characterized by acute onset and severity of clinical manifestations, which are determined by stopping the focus of inflammation, its size, the characteristics of the causative agent that provoked it. The pus that forms in the pericital fiber does not find a way out, therefore the abscess spreads further and more intensely. The specific symptoms of paraproctitis significantly depend on the location of the lesion. The onset of the disease is characterized by the occurrence of headache, weakness, general malaise. Body temperature -37.5 ° C and more. The occurrence of chills, aches in the joints and muscles, lack of appetite. Disorder of stool and urination, painful urge to stool, painful urination may appear. In addition, there is the likelihood of pain of varying intensity, which are concentrated in the lower abdomen, in the pelvis and rectum.
All the above symptoms of paraproctitis correspond to all forms of acute paraproctitis. But each of the types of the disease has its own characteristic signs.
Treatment
Only a surgical method is used to treat acute.paraproctitis. The operation is to open the infection and remove the existing non-viable areas. If this form of the disease is accompanied by the formation of a fistulous course, then the surgeon excised it. At the end of the operation, a drainage is established, due to which pus has the opportunity to flow freely beyond the boundaries of the affected area.
