Acute anorectal abscess caused by a foreign bodies is a great rarity. In literature only isolated cases were described. We observed such a case when found a fish bone in an abscess cavity. Diagnostics of such cases is difficult due to to absence of high-technological methods of examination in routine circumstances. Patients are often discharged with the diagnosis acute paraproctitis excluding peculiarirites of pathogenesis of this disease. Analysis of literature shows that foreign bodies should be attributed to etiological factors of anorectal abscesses, or – at least – to significant risk factors of their occurence.
anorectal abscess, foreign bodies, surgery
1. Klinicheskie rekomendacii po diagnostike i lecheniyu vzroslyh pacientov c ostrym paraproktitom. Moskva, 2013. Dostupno na http://www. gnck.ru/rec/recommendation_ parap. pdf; ssylka aktivna 05.12.2019
2. Kayzer A. M. Kolorektal'naya hirurgiya / Per. s angl. pod red. Yu.A. Shelygina, S.E. Uryadova. – M.: Izdatel'stvo Panfilova; BINOM. Laboratoriya znaniy, 2011.
3. Lavreshin P. M., Gobedzhishvili V. K., Zhabina A. V., Gobedzhishvili V. V., Vladimirova O. V. Lechebnaya taktika pri ostrom paraproktite. Sovremennye problemy nauki i obrazovaniya. 2016;1. URL: http://www.science-education.ru/ru/article/ view?id=24089 (data obrascheniya: 05.12.2019).
4. Shtyrkova S. V., Karagyulyan S. R., Gemdzhyan E. G., Danishyan K. N. Perianal'nye infekcionnye porazheniya kak proyavleniya gemoblastoza i aplasticheskoy anemii. Koloproktologiya. 2019; 18 (4(70)):116-129. doi: 10.33878/2073-7556-2019-18-4- 116-129
5. Hubezov D. A., Trushin S. N., Puchkov K. V., Puchkov D. K., Ogorel'cev A. Yu. Taktika lecheniya pacientov s inorodnymi telami pryamoy kishki. Hirurgiya, 2016;9:57-63. doi: 10.17116/ hirurgia2016957-63
6. Zharmenov S. M., Turganbaev S. M. Sluchay iz klinicheskoy praktiki: dlitel'noe nahozhdenie inorodnogo tela tolstoy kishki. Dostupno na https://kaznmu.kz/press/wp-content/uploads/2011/10/ dlitel'noe-nahozhdenie-inorodnogo-tela-tolstoy-kishki.pdf; ssylka aktivna 03.06.2020
7. Doublali M., Chouaib A., Elfassi M. J., Farih M. H., Benjelloun B., Agouri Y., Zahid F. Z., Louchi A. Perianal abscesses due to ingested foreign bodies. J Emerg Trauma Shock. 2010 Oct-Dec; 3(4): 395–397. doi: 10.4103/0974-2700.70769
8. Eroğlu H., Zalt T., Sarıkaya M. S., Kuzu R., Başbuğ M., Derici H. A Rare Case of Anorectal Abscess due to Foreign Ingested Body. Turk J Colorectal Dis 2018;28:105-107. doi: 10.4274/tjcd.30316
9. Kolosov A., Jotautas V., Strupas K. Perianal abscesses caused by an ingested foreign body long time ago: case report. Lithuanian Surgery. 2016;15(1):28–31. doi:10.15388/LietChirur.2015.4.9204
10. Kislyakova M. V., Pshelenskaya A. I., Burkov S. G. Vozmozhnosti ul'trazvukovoy diagnostiki ostrogo paraproktita. Klinicheskoe nablyudenie. SonoAce Ultrasound; 28. URL: https://www.medison. ru/si/art412.htm (data obrascheniya: 06.05.2020).
