DOI: https://doi.org/10.22263/2312-4156.2022.6.99
V.L. Denisenko1,2, V.M. Drozdov1, K.G. Tsyplakov1, V.Ya. Khmelnikov1, V.O. Sokolovsky1, V.K. Smirnov1, K.O. Chepik2, E.V. Denisenko1, A.O. Smirnova1
Acute complicated anaerobic paraproctitis: a case from practice
1Vitebsk Regional Clinical Specialized Center, Vitebsk, Republic of Belarus
2Vitebsk State Order of Peoples’ Friendship Medical University, Vitebsk, Republic of Belarus
Vestnik VGMU. 2022;21(6):99-105.
Abstract.
Anaerobic paraproctitis is a life-threatening disease, accompanied by a high mortality rate, requiring absolutely innovative diagnostic and therapeutic approaches. The development of acute paraproctitis is brought about by a number of predisposing factors: weakening of the immune system due to concurrent acute or chronical infection, microcirculation disorders, gastrointestinal disorders, complications of hemorrhoids, fissures, cryptitis. Not infrequently acute paraproctitis is complicated by Fournier’s gangrene.
Objectives. To describe the clinical case of acute anaerobic non-clostridial paraproctitis.
Material and methods. The paper presents a patient with suspected anaerobic non-clostridial paraproctitis.
Results. We managed to control the process. The patient was discharged in a satisfactory condition for the outpatient treatment.
Conclusions. As a result of complex treatment of the patient with symptoms of acute anaerobic non-clostridial paraproctitis, including a wide dissection of purulent streaks and antibiotic therapy, it was possible to stop the given disease.
Keywords: acute paraproctitis, acute anaerobic paraproctitis, acute anaerobic non-clostridal paraproctitis, Fourunier’s gangrene, abscess of the perineum, phlegmon of the perineum.
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Information about authors:
V.L. Denisenko – Doctor of Medical Sciences, associate professor, chief physician of the Vitebsk Regional Clinical Specialized Center,
E-mail: Этот адрес электронной почты защищён от спам-ботов. У вас должен быть включен JavaScript для просмотра. – Valery L. Denisenko;
V.M.Drozdov – proctologist, Vitebsk Regional Clinical Specialized Center;
K.G. Tsyplakov – head of the proctological department, Vitebsk Regional Clinical Specialized Center;
V.Ya. Khmelnikov – proctologist, Vitebsk Regional Clinical Specialized Center;
V.O. Sokolovsky – proctologist, Vitebsk Regional Clinical Specialized Center;
V.K. Smirnov – proctologist, Vitebsk Regional Clinical Specialized Center;
K.O. Chepik – senior lecturer of the Chair of General Surgery, Vitebsk State Order of Peoples’ Friendship Medical University,
E.V. Denisenko – surgeon, Vitebsk Regional Clinical Specialized Center;
A.O. Smirnova – proctologist, Vitebsk Regional Clinical Specialized Center.
