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[Intramural abscesses of the rectum]
Presse Medicale (Paris, France : 1983)
|May 7, 1983
Abstract:
Intramural abscesses of the rectum developed in the complex longitudinal layer may be isolated or associated with a transphincteric fistula. They may be acute or subacute and are diagnosed by intrarectal palpation. The only treatment is surgical: the abscess is opened into the rectal cavity, except in case of association with suprasphincteric fistula, when it must be drained through the skin. Postoperative complications are minor ones and relapses are rare (1.75% of cases).
Insights
Intramural rectal abscesses, often linked to fistulas, require surgical drainage. Surgical intervention leads to minor complications and rare relapses, making it an effective treatment.
Area of Science:
- Gastroenterology
- Surgical Procedures
- Colorectal Surgery
Context:
- Intramural abscesses of the rectum originate in the complex longitudinal layer.
- These abscesses can be isolated or associated with transphincteric fistulas.
- They present as acute or subacute conditions.
Purpose:
- To describe the diagnosis and surgical management of intramural rectal abscesses.
- To outline the treatment protocols based on fistula association.
- To report on the outcomes, including complications and relapse rates.
Summary:
- Diagnosis is primarily through intrarectal palpation.
- Surgical treatment involves opening the abscess into the rectal cavity.
- Drainage through the skin is indicated for abscesses associated with suprasphincteric fistulas.
Impact:
- Surgical treatment demonstrates a low rate of minor postoperative complications.
- Relapse rates for intramural rectal abscesses are notably rare, reported at 1.75%.
- Effective surgical management ensures favorable patient outcomes with minimal recurrence.