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Early symptoms of anorectal abscess What?

Date2013-08-27 16:37:14

The general performance of the disease, patients first feel pain or tingling in the anus bulge, and a palpable lump, tenderness, followed by increased pain, painful mass increases, and can be chills and fever. In 3 to 5 days locally abscess formation. Low abscess local symptoms and systemic symptoms light weight, high localized abscess systemic symptoms and mild symptoms. Self abscess rupture spontaneously into the anorectal discharge pus, pain relief after drainage, systemic symptoms improved or disappeared. After the formation of anal fistula abscess can be recurrent.
Due to the occurrence of different parts of the abscess, the symptoms and signs also have their own characteristics:
1 , perianal skin abscesses, anorectal abscess accounted for 40 % to 45% , is located in the anus, anal canal lower part of the subcutaneous tissue, fascia and above the ischial rectal separated by a space . Occurs in the anus backside . Swelling and pain in the anal area is the main symptom of the disease . Examination shows local swelling , tenderness and painful lumps, there are fluctuations in the festering sense of self are visible lacerations and puncture pus . The disease diagnosis easier , such as suspected abscess formation, as can be confirmed by biopsy .
2 , ischial rectal fossa abscess , accounting for 15% to 25% of perianal abscess , located within the ischial rectal fossa . Ischial rectal gap wedge in between the levator ani muscle and the sciatic bottom down the skin between the anus and the ischial tuberosity , pointed upward in the obturator fascia and levator ani muscle membrane junction . Inflammation often felt since the beginning of anal discomfort or slight pain , followed by systemic symptoms , such as headache , fever , rapid pulse , chills , etc., while localized pain increased , restless , pain during bowel movements are especially important . Dysuria , tenesmus. Examination visible next to the anus swelling, purple skin hardens , DRE palpable ischial rectal fossa full uplift, tenderness . Early as ischial rectal fossa puncture is found most simple and effective way to abscess .
3, pelvic rectal space abscess, abscess accounted for 2.5% to 9%, pelvic rectal space located in the pelvis, under the levator ani muscle, the pelvic peritoneum, the rectum and lateral ligament. Front man for the bladder and prostate, uterus and broad ligament women. After the abscess occurs mainly as systemic symptoms, anal local performance is not obvious, DRE be touched in the levator ani muscle swelling and tenderness on. Since the location of deep infection, early diagnosis is not easy, so the symptoms of systemic infection, septic shock and even those who can not find the lesions may want to consider this disease, B ultrasound or CT examination can help diagnose.
4, horseshoe abscess, horseshoe abscess in the anus, anal abscess behind and on both sides of the spread, mostly in the rear, the rear of the anal gland infection or abscess spread to the contralateral side caused, can be divided into high horseshoe abscess and low horseshoe abscess. Clinical manifestations of systemic infection symptoms, local manifestations of the anal canal behind the swelling and tenderness, pus late ulceration.