Nietypowo zlokalizowana torbiel epidermalna jako przyczyna proktalgii – opis przypadku

© Borgis - Nowa Medycyna 4/2015, s. 109-113 | DOI: 10.5604/17312485.1193553

*Małgorzata Kołodziejczak¹, Wacław Warzecha², Iwona Sudoł-Szopińska^{1, 3, 4}, Małgorzata Stusińska⁵

Summary
The most common causes of anal pain include inflammatory anal diseases, such as fissure, abscess, perianal thrombus or haemorrhoid complications in the form of grade 4 thrombosed haemorrhoids. The paper presents a female patient with anal pain that persisted for many months and was ineffectively treated symptomatically with anti-inflammatory and analgesic medications. It was found that pain symptoms were caused by a presacral epidermoid cyst. The correct diagnosis was established on the basis of an anorectal examination as well as with endosonography and magnetic resonance imaging. These methods precisely specified the location of the cyst in relation to the rectal wall, which enabled its safe excision from the posterior approach. The patient was discharged in a good overall and local condition in the fifth day after the procedure. The follow-up examination conducted three months afterwards did not show any recurrence, and the patient reported no pain symptoms.
Conclusions. 1. In the case of a patient with chronic proctalgia, atypical causes must be taken into consideration. 2. Imaging examinations should be conducted prior to the surgical procedure in order to optimise treatment outcomes.

To jest tylko fragment artykułu. Aby przeczytać całość, przejdź do Czytelni medycznej.