Perianal abscess is a common clinical disease.This disease progresses rapidly.Surgical treatment is the main clinical treatment.Postoperative pain,bleeding,and excessive exudate are often accompanied by slow postopera...Perianal abscess is a common clinical disease.This disease progresses rapidly.Surgical treatment is the main clinical treatment.Postoperative pain,bleeding,and excessive exudate are often accompanied by slow postoperative wound healing due to special anatomic site.The external treatment of traditional Chinese medicine has various treatment methods for perianal abscess after operation,and the results are quite effective.The treatment experience of various doctors in the past five years was summarized as follows.展开更多
BACKGROUND Abscess formation is one of the complications after radical resection of rectal cancer;cases with delayed postoperative anastomotic abscess are rare.Here,we report a rare case of postoperative anastomotic a...BACKGROUND Abscess formation is one of the complications after radical resection of rectal cancer;cases with delayed postoperative anastomotic abscess are rare.Here,we report a rare case of postoperative anastomotic abscess with a submucosal neoplasm appearing after rectal surgery.Ultimately,the patient was diagnosed and treated by endoscopic fenestration.In addition,we review the literature on the appearance of an abscess as a complication after rectal cancer surgery.CASE SUMMARY A 57-year-old man with a history of rectal malignancy resection complained of a smooth protuberance near the anastomotic stoma.Endoscopic ultrasonography revealed a hypoechoic structure originating from the muscularis propria,and a submucosal tumor was suspected.The patient was subsequently referred to our hospital and underwent pelvic contrast-enhanced computed tomography,which revealed no thickening or strengthening of the anastomotic wall.In order to clarify the origin of the lesion and obtain the pathology,endoscopic fenestration was performed.After endoscopic procedure,a definitive diagnosis of delayed anastomotic submucosal abscess was established.The patient achieved good recovery and prognosis after the complete clearance of abscess.CONCLUSION Endoscopic fenestration may be safe and effective for the diagnosis/treatment of delayed intestinal smooth protuberance after rectal cancer surgery.展开更多
Gordonia sputi causes rare bacterial infections resulting from a contaminated indwelling medical device. We report the case of a postoperative plastic expander abscess in a woman, with G. sputi identification by 16S r...Gordonia sputi causes rare bacterial infections resulting from a contaminated indwelling medical device. We report the case of a postoperative plastic expander abscess in a woman, with G. sputi identification by 16S ribosomal RNA sequencing. This report indicates that Gordonio spp. should be included in the list of organisms causing plastic implant infections.展开更多
基金Project of the National Administration of Traditional Chinese Medicine,ZYYS-2013(PJ67)Research on the revision of TCM clinical diagnosis and treatment guidelines for anorectal abscess+1 种基金Natural Science Fundamentals General Project of Shaanxi Provincial Department of Science and Technology,2020JM-588Study on the mechanism of simmering pus and flesh growing and curing from the correlation between damp-heat transforming and NF-kb/AQP pathway。
文摘Perianal abscess is a common clinical disease.This disease progresses rapidly.Surgical treatment is the main clinical treatment.Postoperative pain,bleeding,and excessive exudate are often accompanied by slow postoperative wound healing due to special anatomic site.The external treatment of traditional Chinese medicine has various treatment methods for perianal abscess after operation,and the results are quite effective.The treatment experience of various doctors in the past five years was summarized as follows.
基金Supported by National Natural Science Foundation of China,No.81900601University Innovation Team and Innovative Talent Support Program of Liaoning Province,No.LR2019073and Outstanding Scientific Fund of Shengjing Hospital,No.201702.
文摘BACKGROUND Abscess formation is one of the complications after radical resection of rectal cancer;cases with delayed postoperative anastomotic abscess are rare.Here,we report a rare case of postoperative anastomotic abscess with a submucosal neoplasm appearing after rectal surgery.Ultimately,the patient was diagnosed and treated by endoscopic fenestration.In addition,we review the literature on the appearance of an abscess as a complication after rectal cancer surgery.CASE SUMMARY A 57-year-old man with a history of rectal malignancy resection complained of a smooth protuberance near the anastomotic stoma.Endoscopic ultrasonography revealed a hypoechoic structure originating from the muscularis propria,and a submucosal tumor was suspected.The patient was subsequently referred to our hospital and underwent pelvic contrast-enhanced computed tomography,which revealed no thickening or strengthening of the anastomotic wall.In order to clarify the origin of the lesion and obtain the pathology,endoscopic fenestration was performed.After endoscopic procedure,a definitive diagnosis of delayed anastomotic submucosal abscess was established.The patient achieved good recovery and prognosis after the complete clearance of abscess.CONCLUSION Endoscopic fenestration may be safe and effective for the diagnosis/treatment of delayed intestinal smooth protuberance after rectal cancer surgery.
文摘Gordonia sputi causes rare bacterial infections resulting from a contaminated indwelling medical device. We report the case of a postoperative plastic expander abscess in a woman, with G. sputi identification by 16S ribosomal RNA sequencing. This report indicates that Gordonio spp. should be included in the list of organisms causing plastic implant infections.
