A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations
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 pla...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society of Coloproctology
2019-08-01
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| Series: | Annals of Coloproctology |
| Subjects: | |
| Online Access: | http://coloproctol.org/upload/pdf/ac-2018-03-05.pdf |
| _version_ | 1818331549655891968 |
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| author | Christianna Oikonomou Periklis Alepas Stelios Gavriil Dimitrios Kalliouris Konstantinos Manesis Petros Bouboulis Dimitrios Filippou Panagiotis Skandalakis |
| author_facet | Christianna Oikonomou Periklis Alepas Stelios Gavriil Dimitrios Kalliouris Konstantinos Manesis Petros Bouboulis Dimitrios Filippou Panagiotis Skandalakis |
| author_sort | Christianna Oikonomou |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-12-13T13:21:37Z |
| format | Article |
| id | doaj.art-4ec6bea3de5d4c7bae30c53723d802de |
| institution | Directory Open Access Journal |
| issn | 2287-9714 2287-9722 |
| language | English |
| last_indexed | 2024-12-13T13:21:37Z |
| publishDate | 2019-08-01 |
| publisher | Korean Society of Coloproctology |
| record_format | Article |
| series | Annals of Coloproctology |
| spelling | doaj.art-4ec6bea3de5d4c7bae30c53723d802de2022-12-21T23:44:23ZengKorean Society of ColoproctologyAnnals of Coloproctology2287-97142287-97222019-08-0135421622010.3393/ac.2018.03.051624A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical ConsiderationsChristianna Oikonomou0Periklis Alepas1Stelios Gavriil2Dimitrios Kalliouris3Konstantinos Manesis4Petros Bouboulis5Dimitrios Filippou6Panagiotis Skandalakis7 National Kapodistrian University Athens, Athens, Greece 5th Surgery Clinic IASO General, Athens, Greece 5th Surgery Clinic IASO General, Athens, Greece 2nd Department of Surgery, 417 NIMTS Hospital, Athens, Greece 2nd Department of Surgery, 417 NIMTS Hospital, Athens, Greece 2nd Department of Surgery, 417 NIMTS Hospital, Athens, Greece National Kapodistrian University Athens, Athens, Greece National Kapodistrian University Athens, Athens, GreecePerianal 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.http://coloproctol.org/upload/pdf/ac-2018-03-05.pdfhorseshoe abscesssupralevatorextraperitoneal spacetranssphincteric fistula |
| spellingShingle | Christianna Oikonomou Periklis Alepas Stelios Gavriil Dimitrios Kalliouris Konstantinos Manesis Petros Bouboulis Dimitrios Filippou Panagiotis Skandalakis A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations Annals of Coloproctology horseshoe abscess supralevator extraperitoneal space transsphincteric fistula |
| title | A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations |
| title_full | A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations |
| title_fullStr | A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations |
| title_full_unstemmed | A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations |
| title_short | A Rare Case of Posterior Horseshoe Abscess Extending to Anterolateral Extraperitoneal Compartment: Anatomical and Technical Considerations |
| title_sort | rare case of posterior horseshoe abscess extending to anterolateral extraperitoneal compartment anatomical and technical considerations |
| topic | horseshoe abscess supralevator extraperitoneal space transsphincteric fistula |
| url | http://coloproctol.org/upload/pdf/ac-2018-03-05.pdf |
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