A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations

Christianna Oikonomou; Periklis Alepas; Stelios Gavriil; Dimitrios Kalliouris; Konstantinos Manesis; Petros Bouboulis; Dimitrios Filippou; Panagiotis Skandalakis

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저자정보: Christianna Oikonomou (National Kapodistrian University) Periklis Alepas (5th Surgery Clinic IASO General) Stelios Gavriil (5th Surgery Clinic IASO General) Dimitrios Kalliouris (417 NIMTS Hospital) Konstantinos Manesis (417 NIMTS Hospital) Petros Bouboulis (417 NIMTS Hospital) Dimitrios Filippou (National Kapodistrian University) Panagiotis Skandalakis (National Kapodistrian University)

저널정보: 대한대장항문학회 Annals of Coloproctology Annals of Coloproctolgy Vol.35 No.4

발행연도: 2019.1

수록면: 216 - 220 (5page)

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Perianal abscess and fistula are 2 distinct entities that share a common pathology. A horseshoe fistulous abscess, a complex type of these conditions, occurs when the suppurative inflammation spreads through the deep anal space to the bilateral ischiorectal fossae. Following the intersphincteric plane, this infection may extend to the pararectal space, forming a supralevator abscess. We present a very rare case involving a 52-year-old male patient who was admitted to our surgical department with an extraperitoneal purulent inflammation as a complication following multiple drainage procedures for a posterior horseshoe abscess. Emphasis is given to the anatomical and technical considerations of eradication of anorectal sepsis and the management of complex fistula-in-ano along with a concise review of the literature.

#Horseshoe abscess #Supralevator #Extraperitoneal space #Transsphincteric fistula

참고문헌 (14)

참고문헌 신청

Parks AG / 1976 / A classification of fistula-in-ano / Br J Surg 63:1~12

Prasad ML / 1981 / Supralevator abscess : diagnosis and treatment / Dis Colon Rectum 24:456~461

Umoh NJ / 2017 / Surgical management of deep postanal abscess and horseshoe fistula of cryptoglandular origin-a review / Clin Surg 2:1570

Steele SR / 2011 / Standards Practice Task Force of the American Society of Colon and Rectal Surgeons. Practice parameters for the management of perianal abscess and fistula-in-ano / Dis Colon Rectum 54:1465~1474

Mirilas P / 2010 / Surgical anatomy of the retroperitoneal spaces part II: the architecture of the retroperitoneal space / Am Surg :7633~7642

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