Denis J, Ganansia R, Arnous-Dubois N, du Puy-Montbrun T, Lemarchand N
Presse Med. 1983 May 7;12(20):1285-9.
Intramural abscesses of the rectum developed in the complex longitudinal layer may be isolated or associated with a transphincteric fistula. They may be acute or subacute and are diagnosed by intrarectal palpation. The only treatment is surgical: the abscess is opened into the rectal cavity, except in case of association with suprasphincteric fistula, when it must be drained through the skin. Postoperative complications are minor ones and relapses are rare (1.75% of cases).
直肠肌壁内脓肿发生于复杂的纵肌层，可为孤立性或与经括约肌肛瘘相关。它们可以是急性或亚急性的，通过直肠内触诊进行诊断。唯一的治疗方法是手术：将脓肿切开进入直肠腔，但与括约肌上肛瘘相关时除外，此时必须经皮肤引流。术后并发症轻微，复发罕见（1.75%的病例）。
