PPT-Perianal suppuration- Abscess & Fistula

Dr Pankaj Kumar Assistant Professor Surgical Gastroenterology Anorectal suppurative disease may manifest as An acute or Anal sepsis abscess Anal fistula represents the chronic form of the . What are the causes of fistula and what is . Eisenhammer's. theory?. . What is Park's classification of anal fistula?. . What are the options for managing fistula?. Why do we care?. Anal abscesses and fistulas are a common surgical problem. H.Tayar. *i, . A.Daghfou. *s, . F.Jabnoun. **, . K.Bouzaid. **i, . L.Rezgui. . Marhou. *l. Radiology. services. Trauma center*, . Tunisia. Taher. . Maamouri’s. . Hospita. **l, Nabeul. GI27. INTRODUCTION. . Fistulizing. . Crohn’s. Disease. Simple, Complex, . Incision and Drainage, . Fistulotomy. , . Setons. , Diversion or . Proctectomy. ?. OH MY!. 24 yr old male with a 1 ½ yr. h/o . stricturing. Abstract No . :. IRIA - 1152 . . Perianal. fistula . Chronic, potentially disabling, problem – for the patient. Recurrence - common. Inadequate surgery – leading cause of recurrence. Over excision may lead to Anal incontinence. Perianal. fistula. Dr. Ahmed . Refaey. , FRCR. . Consultant Radiologist. Riyadh Military Hospital. Format of the lecture. Anatomy. Pathogenesis . Imaging techniques. IBD>. RESULT FROM AN ABNORMAL LOCAL IMMUNE RESPONSE AGAINST THE NORMAL FLORA OF THE GUT.. CROHN’S DISEASE . is a systemic non-. caseating. . granulomatous. inflammatory disease with predominant GI-involvement.. Tim Ridgway MD FACP. Associate Professor of Medicine. University of South Dakota Sanford School of Medicine. A 63 year old female presents with increasing lethargy and altered mental status over the previous 2 days. She also complained of nonspecific colicky abdominal pain over the past 3 weeks. On the evening prior to admission, she noted shaking chills. The following day she developed increasing shortness of breath, prompting evaluation locally and transfer to our facility.. Tryggvi Björn Stefánsson. Dept of Surgery. Landspitali University Hospital. Diverticulosis. Barium Enema.. Barium Enema. Diverticulitis. Clinical classification. Hinchey classification. Ambrosetti classification. Anatomy of the Anal Canal . Below. dentate line. Above. dentate line. Embryological origin. Ectodermal. origin. Similar to the nearby. skin with some. differences.. From the Hindgut. Similar to the Rectum. 42 AbstractThe ideal treatment for ano-rectal �stula should aim towards low recurrence, early recovery and minimal incontinence. The various techniques are described for management of ano-r An anal fistula ( Bhagandar / Fistula in ano ) is a small channel that develops between the end of the bowel and the skin around the anus. It frequently is the result of a previous or current anal abs Anatomy. anal glands . anal glands. The average number of glands in a normal anal canal is six (range, 3–10) . Each gland is lined by stratified columnar epithelium with mucus-secreting or goblet cells interspersed within the glandular epithelial lining and has a direct opening into an anal crypt at the dentate line.. MD. Peritonsillar. Abscess (Quinsy). Abscess between . tonsilar. capsule and . lat.pharyngeal. wall.. Follows attack of AT, is unilateral, above tonsil near soft palate, 1. st. . cellulitis. then frank pus.. H.Tayar. *i, . A.Daghfou. *s, . F.Jabnoun. **, . K.Bouzaid. **i, . L.Rezgui. . Marhou. *l. Radiology. services. Trauma center*, . Tunisia. Taher. . Maamouri’s. . Hospita. **l, Nabeul. GI27. INTRODUCTION.