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Related Concept Videos

Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

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Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
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Early rectal cancer accompanied by multiple systemic abscesses: A case report.

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A 70-year-old man with diabetes developed multiple abscesses, including lung and liver abscesses, caused by Klebsiella pneumoniae. This case highlights a rare association between Klebsiella pneumoniae infections and early rectal cancer.

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Area of Science:

  • Infectious Diseases
  • Gastroenterology
  • Neurosurgery

Background:

  • A 70-year-old male with diabetes presented with symptoms suggestive of infection.
  • Initial treatment with antibiotics was ineffective, leading to further diagnostic investigations.

Purpose of the Study:

  • To report a rare case of disseminated Klebsiella pneumoniae infection presenting with multiple abscesses.
  • To explore the potential association between these infections and early rectal cancer.
  • To discuss clinical management and literature review.

Main Methods:

  • Computed tomography (CT) scans revealed multiple lung nodules and a liver abscess.
  • Percutaneous transhepatic drainage (PTD) of the liver abscess and surgical drainage with anterior cervical spinal fusion for pyogenic spondylitis were performed.
  • Cultures from lesions identified Klebsiella pneumoniae.
  • Gastrointestinal investigation revealed early rectal cancer, treated with lower anterior resection.

Main Results:

  • Successful treatment of lung and liver abscesses with antibiotics and drainage procedures.
  • Resolution of pulmonary nodules, confirming them as lung abscesses.
  • Identification of Klebsiella pneumoniae as the causative agent in all abscesses.
  • Surgical management of cervical spine infection and rectal cancer.

Conclusions:

  • Disseminated Klebsiella pneumoniae infections can present with multiple abscesses in various organs.
  • A potential link between Klebsiella pneumoniae bacteremia and underlying gastrointestinal malignancy, such as rectal cancer, should be considered.
  • Multidisciplinary management is crucial for successful outcomes in complex cases.