TREATMENT AND PREVENTION OF COMPLICATED FORMS OF ACUTE PARAPROCTITIS

Acute purulent paraproctitis has a severe clinical picture. The patient experiences severe cramping pain, defecation difficulty. The disease is characterized by high temperature (39-40°C) and fever. In cases of subcutaneous paroproctitis, redness, swelling and infiltrate appear in the area of the posterior exit opening, which spreads to the buttocks, often to the groin area. Purulent infiltration of tissues rapidly develops, and a rash appears. If the process takes place near the casting, local symptoms are less obvious, and the disease itself is accompanied by intoxication. If the abscess develops near the rectal wall, rectal examination may reveal swelling, infiltration, and severe pain. Abscesses may spontaneously rupture into the bowel or surface. If this happens, rectal fistulas appear that do not heal without surgery. In such cases, the disease becomes chronic. Anaerobic paraproctitis takes the form of severe feigmonous inflammation.