Document Detail

Floating free-standing anus. A complication of massive anorectal infection.
MedLine Citation:
PMID:  6872778     Owner:  NLM     Status:  MEDLINE    
In a four-year period, 1,020 anorectal infections were treated. Twenty-four patients (2.3 per cent) developed massive tissue necrosis, leaving the anorectum devoid of its anatomic support unilaterally, bilaterally or circumferentially, thus resulting in a "floating or free-standing" anus. The most significant etiologic factors were diabetes and anorectal trauma. All patients had aggressive supportive therapy, appropriate use of antibiotics based on gram stains and confirmed by subsequent cultures, followed by early extensive debridement of all necrotic tissues. Colostomy was not utilized in any of the patients. There were no deaths in this series, and complete wound healing occurred in eight to 12 weeks with only one minor recurrent infection in the follow-up period that averaged 40 months.
H Abcarian; M Eftaiha
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Diseases of the colon and rectum     Volume:  26     ISSN:  0012-3706     ISO Abbreviation:  Dis. Colon Rectum     Publication Date:  1983 Aug 
Date Detail:
Created Date:  1983-09-09     Completed Date:  1983-09-09     Revised Date:  2005-11-17    
Medline Journal Info:
Nlm Unique ID:  0372764     Medline TA:  Dis Colon Rectum     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  516-21     Citation Subset:  IM    
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MeSH Terms
Abscess / complications*,  pathology,  surgery
Anal Canal / pathology*
Anus Diseases / complications*,  pathology,  surgery
Middle Aged
Postoperative Care
Rectal Diseases / complications*,  pathology,  surgery
Rectal Fistula / etiology
Urinary Fistula / etiology

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