摘要:

PURPOSE:This study was conducted to report a rare case of anorectal pathology.METHODS:We report a case of perianal lymphoma in a nonimmunocompromised, heterosexual patient and review the literature.RESULTS:A 67‐year‐old white male was found to have an ulcerated posterior anal mass. Biopsy revealed large cell lymphoma, B cell type, immunoblastic. There was no disseminated disease. The patient denied any homosexual activity and was HIV negative. There was complete resolution with chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisone), and he remained disease free for six years.CONCLUSIONS:Rare anorectal pathology may mimic common conditions. Biopsies should be taken to rule out malignancy.

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PURPOSE:Diverticulitis of the transverse colon is a rare disorder and is often confused with other conditions. Previously reported cases of transverse colon diverticulitis were diagnosed and treated by surgical exploration. Four cases are presented that were successfully managed with a nonsurgical approach.METHODS AND RESULTS:Review of the literature in English disclosed 31 cases of transverse colon diverticulitis. The clinical characteristics and management of these patients are reviewed and compared with the current series of patients. The utility of computerized tomography in the diagnosis of diverticulitis is discussed.CONCLUSIONS:Medical therapy with bowel rest and antibiotics is appropriate for transverse colon diverticulitis when free perforation and peritoneal signs are absent and the inflammation is contained, as shown by computerized tomography. Operative exploration should be reserved for patients with diffuse peritonitis or those where perforated colon cancer cannot be excluded.

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

PURPOSE:An original case of rectal injury after a personal watercraft accident is reported. Principles of rectal trauma management are discussed.METHODS:We present a case of a rectal injury after a fall from a personal watercraft. Rigid sigmoidoscopy and a water‐soluble contrast enema documented a posterior rectal tear. The patient was managed by diversion, drainage, and administration of antibiotics.RESULTS:The patient's rectal tear healed without complication.CONCLUSION:To our knowledge, this is the first reported case of an injury to the rectum as a result of a personal watercraft accident. A high suspicion of rectal injury must be maintained in victims who have fallen from the back of a personal watercraft. Treatment of a rectal injury should follow the basic principles of drainage, diversion, and administration of antibiotics, but variations in traditional management may be appropriate. Finally, preventative methods including wearing protective clothing, and possible modification to the watercraft to reduce risk of injury should be considered.

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

摘要:

&NA;Ecthyma gangrenosum is a cutaneous gangrenous disorder which usually followsPseudomona aeruginosainfection and is found mainly in immunosuppressed children. We describe a case of a five‐year‐old female with leukemia with a severe perineal ecthyma gangrenosum resulting in a cloaca‐like deformity. One year later a perineoplasty with puborectalis interposition and overlapping external anal sphincteroplasty was successfully performed, achieving satisfactory continence.

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID

ISSN:0012-3706    

出版商:OVID    

年代:1999

数据来源: OVID