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Indian Journal of Surgery
Published in: Indian Journal of Surgery 3/2015

01-12-2015 | Original Article

Complicated Perianal Sepsis

Authors: Abhishek Mitra, Amitabh Yadav, Naimish Mehta, Vibha Varma, Vinay Kumaran, Samiran Nundy

Published in: Indian Journal of Surgery | Special Issue 3/2015

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Abstract

Management of benign anorectal conditions like abscesses and haemorrhoids is usually uneventful. However, complicated perianal complications can result and have sparsely been reported in literature. Hereby, we report a series of seven patients who presented with rare sequelae like necrotising fasciitis, intraperitoneal or retroperitoneal involvement. All patients responded well to surgical management. Accordingly, complicated perianal sepsis warrants a timely and aggressive surgical intervention.
Literature
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Zaveri JP, Nathani RR, Mathure AB (1987) Ano-rectal abscess with retro-peritoneal spread (a case report). J Postgrad Med 33(2):97–98PubMed
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Hanley PH (1979) Anorectal supralevator abscess-fistula in ano. Surg Gynecol Obstet 148(6):899–904PubMed
3.
Moorthy K, Rao PP, Supe AN (2000) Necrotising perineal infection: a fatal outcome of ischiorectal fossa abscesses. J R Coll Surg Edinb 45(5):281–284PubMed
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McCloud JM, Jameson JS, Scott AN (2006) Life-threatening sepsis following treatment for haemorrhoids: a systematic review. Colorectal Dis 8(9):748–755CrossRefPubMed
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Palmer LS, Winter HI, Tolia BM, Reid RE, Laor E (1995) The limited impact of involved surface area and surgical debridement on survival in Fournier’s gangrene. Br J Urol Aug 76(2):208–212CrossRef
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Kovalcik PJ, Jones J (1983) Necrotizing perineal infections. Am Surg 49(3):163–166PubMed
Metadata
Title
Complicated Perianal Sepsis
Authors
Abhishek Mitra
Amitabh Yadav
Naimish Mehta
Vibha Varma
Vinay Kumaran
Samiran Nundy
Publication date
01-12-2015
Publisher
Springer India
Published in
Indian Journal of Surgery / Issue Special Issue 3/2015
Print ISSN: 0972-2068
Electronic ISSN: 0973-9793
DOI
https://doi.org/10.1007/s12262-013-0997-y

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