Abstract:
Objective To explore the clinical diagnostic features of idiopathic acute non-necrotizing anorectal diseases.
Methods From May 2014 to September 2018, the clinical manifestations, laboratory tests and imaging studies of 6 cases with idiopathic acute non-necrotizing anorectal diseases in Anorectal Surgery of Affiliated Hospital of Jining Medical University were analyzed retrospectively, and the diagnostic features were analyzed.
Results The main clinical manifestations were acute onset, fever and palpable masses around the anorectum. White blood cells (WBC), C-reactive protein (CRP) and procalcitonin (PCT) were significantly increased and bacterial culture from exudate and blood was negative. Magnetic resonance imaging (MRI) showed intestinal wall thickening, edema and inflammatory changes. The effect of antibiotics alone was not clear. No pus was found in surgical exploration and evident exudate was seen.
Conclusion The careful history, comprehensive laboratory, imaging examination and surgical exploration are helpful for diagnosis of idiopathic acute non-necrotizing anorectal diseases.
Key words:
Anal canal,
Rectum,
Fever,
Diagnosis,
Magnetic resonance imaging
Mingfeng Fan, Wanbin Yin, Shubo Gao, Lili Liu, Lingyu Kong. Clinical diagnostic features of idiopathic acute non-necrotizing anorectal diseases with fever and inflammatory exudation as the main clinical manifestations[J]. Chinese Journal of Diagnostics(Electronic Edition), 2019, 07(02): 118-123.