Clinical diagnostic features of idiopathic acute non-necrotizing anorectal diseases with fever and inflammatory exudation as the main clinical manifestations
Fan Mingfeng, Yin Wanbin, Gao Shubo, Liu Lili, Kong Lingyu
Department of Anorectal Surgery, Affiliated Hospital of Jining Medical University, Jining 272029, China
Abstract：ObjectiveTo explore the clinical diagnostic features of idiopathic acute non-necrotizing anorectal diseases．MethodsFrom 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． ResultsThe 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. ConclusionThe careful history, comprehensive laboratory, imaging examination and surgical exploration are helpful for diagnosis of idiopathic acute non-necrotizing anorectal diseases.
范明峰 尹万斌 高树波 刘莉莉 孔令玉. 以发热、炎性渗出为主要临床表现的特发性急性非坏死性肛管直肠周围疾病的临床诊断学特征[J]. 中华诊断学电子杂志, 2019, 7(2): 118-123.
Fan Mingfeng, Yin Wanbin, Gao Shubo, Liu Lili, Kong Lingyu. Clinical diagnostic features of idiopathic acute non-necrotizing anorectal diseases with fever and inflammatory exudation as the main clinical manifestations. zhzdx, 2019, 7(2): 118-123.
