Gullino D, Abrate M, Giordano O, Gullino E
Service de Chirurgie Générale et d'Urgence, Hôpital Départemental S.S. Annunziata, Savigliano, Italie.
J Chir (Paris). 1996;133(9-10):422-6.
We present a case report of a cyst of Herrmann's glands. These glands have a vestigial origin and are present in more than 50% of the population. They are located in the posterior part of the anal duct. Their excretory duct, when it is permeable communicates with an anal krypt. They have their own microscopic, epithelial characteristics, and produce a mucoid secretion. They can cause acute (abscess) or chronic (fistula) infections of the peri-ano-rectal region. Cancer or cystic transformations are exceptional but typical. All these characteristics are so specific that Herrmann's glands cannot be longer denied as a distinct clinical entity.
我们报告一例赫尔曼腺囊肿的病例。这些腺体起源于退化器官,超过50%的人群中存在。它们位于肛管后部。其排泄管在通畅时与肛门隐窝相通。它们有自身的微观上皮特征,并分泌黏液。它们可引起肛周直肠区域的急性(脓肿)或慢性(瘘管)感染。癌变或囊性变虽罕见但也有发生。所有这些特征都非常特殊,以至于赫尔曼腺作为一个独特的临床实体已不容置疑。