Butt Usman Ismat, Bhatti Samiullah, Wadood Abdul, Rehman Usman Ali, Changazi Shabbar Hussain, Malik Kashif, Fahad Shah, Chughtai Anila, Jadoon Nauman Arif, Ayyaz Mahmood
Surgical Unit -II, Services Hospital, Lahore, Pakistan.
Chughtai Lab Lahore, Lahore, Pakistan.
Ann Med Surg (Lond). 2017 Jun 26;20:66-68. doi: 10.1016/j.amsu.2017.06.023. eCollection 2017 Aug.
Ano-rectal abscesses are common. They however usually do not present with abdominal symptoms. CT although useful is not routinely carried out. Finding of Pneumo-retro-peritoneum with ischio-rectal abscess is rare.
We present the case of a diabetic gentleman who presented with abdominal pain and distension and was found to have ischio-rectal abscess on perianal examination. Although initially suspected to have acute abdomen due to perforated viscus, CT scan revealed pneumo-retro-peritoneum which appeared to arise due to the abscess. Patient underwent incision and drainage of the abscess followed by serial debridement. He made a complete recovery.
Abdominal symptoms are rare in ischio-rectal abscess, but they must be kept in mind. Proper diagnosis may avoid a negative laparotomy.
直肠肛管脓肿很常见。然而，它们通常不会出现腹部症状。CT虽然有用，但并非常规检查项目。坐骨直肠窝脓肿合并腹膜后积气的情况罕见。
我们报告一例糖尿病男性患者，该患者出现腹痛和腹胀，肛周检查发现坐骨直肠窝脓肿。尽管最初怀疑是由于脏器穿孔导致的急腹症，但CT扫描显示腹膜后积气似乎是由脓肿引起的。患者接受了脓肿切开引流及后续的系列清创术。他完全康复。
坐骨直肠窝脓肿出现腹部症状罕见，但必须予以考虑。正确的诊断可避免阴性剖腹探查。
