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Published on: June 15, 2019
Complicated Perianal Sepsis
Abhishek Mitra1, Amitabh Yadav2, Naimish Mehta2
1Department of Surgical Gastroenterology and Liver Transplantation, Sir Ganga Ram Hospital, Sir Ganga Ram Hospital, Old Rajinder Nagar, Room No. 2221, New Delhi, India ; 877, Sector 14, Gurgaon, 122001 Haryana India.
Abstract:
Management of benign anorectal conditions like abscesses and haemorrhoids is usually uneventful. However, complicated perianal complications can result and have sparsely been reported in literature. Hereby, we report a series of seven patients who presented with rare sequelae like necrotising fasciitis, intraperitoneal or retroperitoneal involvement. All patients responded well to surgical management. Accordingly, complicated perianal sepsis warrants a timely and aggressive surgical intervention.
Insights
Rare complications of anorectal conditions, such as necrotising fasciitis, can occur. Prompt surgical intervention is crucial for managing complicated perianal sepsis effectively.
Area of Science:
- Colorectal surgery
- Sepsis management
Background:
- Benign anorectal conditions typically have uneventful management.
- Rare but severe complications can arise from perianal sepsis.
Purpose of the Study:
- To report rare sequelae of perianal sepsis.
- To emphasize the need for aggressive surgical intervention in complicated cases.
Main Methods:
- Case series of seven patients.
- Surgical management of rare perianal complications.
Main Results:
- Patients presented with necrotising fasciitis, intraperitoneal, or retroperitoneal involvement.
- All seven patients responded well to surgical treatment.
Conclusions:
- Complicated perianal sepsis requires timely and aggressive surgical intervention.
- Early surgical management improves outcomes for rare sequelae.
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