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Rare anorectal pathologic conditions

J Denis1, R Ganansia, T Puy-Montbrun

  • 1Department of Colo-proctologie, Hôpital Leopold Bellan, Paris, France.

Current Opinion in General Surgery
|January 1, 1994
PubMed
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This review explores rare, non-malignant anorectal conditions since 1992. It covers dermatology, infections, vascular, tumoral, and embryologic disorders, plus exceptional lesions like hematomas.

Area of Science:

  • Gastroenterology and Hepatology
  • Dermatology
  • Infectious Diseases

Background:

  • Anorectal conditions encompass a wide spectrum, with rare pathologies often overlooked.
  • Malignant conditions are well-documented, necessitating a focus on non-malignant entities.
  • Literature review since 1992 reveals diverse rare anorectal pathologies.

Purpose of the Study:

  • To systematically review and categorize rare, non-malignant anorectal pathologies published since 1992.
  • To provide a comprehensive overview of dermatologic, infectious, vascular, tumoral, and embryologic anorectal disorders.
  • To highlight exceptional anorectal lesions requiring specific diagnostic considerations.

Main Methods:

  • Comprehensive literature search of medical databases for anorectal pathologies published from 1992 to present.

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  • Exclusion of malignant conditions to focus on rare, benign, and other non-malignant entities.
  • Categorization of identified pathologies based on their origin: dermatologic, infectious, vascular, tumoral, embryologic, and exceptional lesions.

    • Main Results:

    • Dermatologic conditions include Hailey-Hailey disease.
    • Infectious etiologies encompass tuberculosis, gangrene, actinomycosis, and cytomegalovirus ulcerations.
    • Vascular, tumoral, and embryologic disorders identified include rectal varices, leiomyomas, lipomas, and heterotopias. Exceptional lesions like spontaneous hematomas and traumatic injuries were also noted.

    Conclusions:

    • Rare non-malignant anorectal conditions represent a diverse group of pathologies.
    • Accurate diagnosis and management require awareness of these uncommon conditions.
    • Further research into the specific characteristics and treatment of these rare anorectal lesions is warranted.