Case Report: A case of perirectal abscess complicated with rectal necrosis
Rectal necrosis represents the extreme progression of ischemic proctitis. Given the unique blood supply of the rectum, which features an extensive collateral circulation, cases of rectal necrosis are extremely rare, accounting for 2%–5% of the ischemic colitis cases. The etiology and pathogenesis of...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2025-04-01
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| Series: | Frontiers in Surgery |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1559084/full |
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| author | Yingfeng Xu Zhiting Wang Jianwen Hu Jiajia Xie Shiwei Chen Ke Ke |
| author_facet | Yingfeng Xu Zhiting Wang Jianwen Hu Jiajia Xie Shiwei Chen Ke Ke |
| author_sort | Yingfeng Xu |
| collection | DOAJ |
| description | Rectal necrosis represents the extreme progression of ischemic proctitis. Given the unique blood supply of the rectum, which features an extensive collateral circulation, cases of rectal necrosis are extremely rare, accounting for 2%–5% of the ischemic colitis cases. The etiology and pathogenesis of rectal necrosis encompass acute vascular occlusion, severe vascular diseases, low blood flow states, and factors such as radiotherapy, vasculitis, and mesenteric venous myointimal hyperplasia. Herein, we report a rare case of perirectal abscess complicated by rectal necrosis at the Anorectal Surgery Department of Bao'an Traditional Chinese Medicine Hospital in Shenzhen. The patient underwent a one-stage incision and drainage for a rectal abscess, followed by sigmoid colostomy and a two-stage reversal of the sigmoid colostomy; all procedures were performed through multidisciplinary collaboration. The surgical outcome was favorable after a 6-month follow-up. |
| format | Article |
| id | doaj-art-7a8c05a1a44c4487a1b4e0fb6a4e2143 |
| institution | DOAJ |
| issn | 2296-875X |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Surgery |
| spelling | doaj-art-7a8c05a1a44c4487a1b4e0fb6a4e21432025-08-20T03:10:34ZengFrontiers Media S.A.Frontiers in Surgery2296-875X2025-04-011210.3389/fsurg.2025.15590841559084Case Report: A case of perirectal abscess complicated with rectal necrosisYingfeng Xu0Zhiting Wang1Jianwen Hu2Jiajia Xie3Shiwei Chen4Ke Ke5Department of Anorectal Surgery, The Seventh Clinical College of Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Anorectal Surgery, The Seventh Clinical College of Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Anorectal Surgery, The Seventh Clinical College of Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Classical Ward, The Seventh Clinical College of Guangzhou University of Chinese Medicine, Shenzhen, ChinaDepartment of Traditional Chinese Medicine, Affiliated TCM Hospital of Guangzhou Medical University, Guangzhou, ChinaDepartment of Anorectal Surgery, The Seventh Clinical College of Guangzhou University of Chinese Medicine, Shenzhen, ChinaRectal necrosis represents the extreme progression of ischemic proctitis. Given the unique blood supply of the rectum, which features an extensive collateral circulation, cases of rectal necrosis are extremely rare, accounting for 2%–5% of the ischemic colitis cases. The etiology and pathogenesis of rectal necrosis encompass acute vascular occlusion, severe vascular diseases, low blood flow states, and factors such as radiotherapy, vasculitis, and mesenteric venous myointimal hyperplasia. Herein, we report a rare case of perirectal abscess complicated by rectal necrosis at the Anorectal Surgery Department of Bao'an Traditional Chinese Medicine Hospital in Shenzhen. The patient underwent a one-stage incision and drainage for a rectal abscess, followed by sigmoid colostomy and a two-stage reversal of the sigmoid colostomy; all procedures were performed through multidisciplinary collaboration. The surgical outcome was favorable after a 6-month follow-up.https://www.frontiersin.org/articles/10.3389/fsurg.2025.1559084/fullcase reportclinical diagnosis and treatmentischemic proctitisperirectal abscessrectal necrosis |
| spellingShingle | Yingfeng Xu Zhiting Wang Jianwen Hu Jiajia Xie Shiwei Chen Ke Ke Case Report: A case of perirectal abscess complicated with rectal necrosis Frontiers in Surgery case report clinical diagnosis and treatment ischemic proctitis perirectal abscess rectal necrosis |
| title | Case Report: A case of perirectal abscess complicated with rectal necrosis |
| title_full | Case Report: A case of perirectal abscess complicated with rectal necrosis |
| title_fullStr | Case Report: A case of perirectal abscess complicated with rectal necrosis |
| title_full_unstemmed | Case Report: A case of perirectal abscess complicated with rectal necrosis |
| title_short | Case Report: A case of perirectal abscess complicated with rectal necrosis |
| title_sort | case report a case of perirectal abscess complicated with rectal necrosis |
| topic | case report clinical diagnosis and treatment ischemic proctitis perirectal abscess rectal necrosis |
| url | https://www.frontiersin.org/articles/10.3389/fsurg.2025.1559084/full |
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