Uwięźnięcie polipa odbytu w przetoce odbytu – opis przypadku

*Przemysław Ciesielski¹, Barbara Górnicka², Paweł Siekierski¹, Jacek Skoczylas¹

Summary
Rectal polyps are built of epithelial multilayer galls located between the edge of the anus and the line crested. They represent a clinical manifestation of inflammatory processes in the anal canal. Small polyps may not give, any clinical symptoms. Repeated edematous changes with time lead to the fibrous transformation polyp and substantial expansion its size. Described in such cases, symptoms include a feeling of incomplete bowel movement, the presence of a foreign body in the rectum, bleeding and prolapse of the polyp during defecation. Described by the authors of the case concerns an unusual complication associated with the coexistence of the polyp and anal fistula involving the incarcerated polyp in the duct fistula, which required urgent surgical intervention.
The case of 53 year old woman admitted through the emergency department to the Division of General Surgery and operated due to entrapment anal polyp in anal fistula.
The patient was discharged home without discomfort on the 4th day of admission. Early results of treatment were assessed as good.
Conclusions: 1. Patients with suddenly emerging and very severe pain around the anus should be considered examination under anesthesia for correct diagnosis and initiation of causal treatment. 2. Concurrent operation cutouts polyp with a fistula in the case of entrapment polyp in low rectal fistula gives good early results of treatment. The condition is a small part of the sphincter covered canal fistula – which allows the execution of operations in a single step without pedals incontinence.

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