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Inflammatory bowel diseases
Colorectal surgical management of colitis induced by vasculitis in the absence of inflammatory bowel disease: a case report and literature review
Jessica A. Paynter, Kirby R. Qin, Georgia Seamer, Ruchira Fernando, Janelle Brennan, Chun Hin Angus Lee
Ann Coloproctol. 2023;39(3):193-203.   Published online November 16, 2022
DOI: https://doi.org/10.3393/ac.2022.00584.0083
  • 4,596 View
  • 142 Download
  • 1 Citations
AbstractAbstract PDF
Colitis caused by vasculitis is a rare and poorly understood pathology. Little evidence exists on its clinical presentation, path to diagnosis, and surgical management. In this report, we present a case report and literature review. A healthy 20-year-old male patient presented with hemorrhagic colitis requiring total colectomy with end ileostomy. Pathological examination showed pancolitis with multiple ulcers, transmural inflammation, hemorrhage, and microvascular thrombosis. Extensive serological testing revealed elevated cytoplasmic antineutrophil cytoplasmic antibody (c-ANCA) and eosinophilia, leading to a diagnosis of eosinophilic granulomatosis with polyangiitis (EGPA) and vasculitis-induced colitis. A literature review was subsequently conducted. Nineteen studies were found documenting vasculitis-induced colitis in the absence of inflammatory bowel disease (IBD). Systemic signs of vasculitis, hemorrhagic colitis, and progression to fulminant colitis were present. Of all patients, 40.0% required colorectal surgery and 62.5% of those patients received a stoma; 25% underwent emergency surgery following failed immunosuppression. All cases relied on clinical correlation with serology and/or histopathology to reach a final diagnosis. We report a case of vasculitis-induced colitis caused by c-ANCA−positive EGPA. The review shows that vasculitis-induced colitis without IBD is an important differential that clinicians should be aware of in patients presenting with colitis.

Citations

Citations to this article as recorded by  
  • Systemic Lupus Erythematosus Vasculitis Causing Perforation Peritonitis in Miliary Tuberculosis: A Disease in Disguise
    Soumyajit Jana, Monika Gureh, Ankur Cheleng, Ayush Vardhan
    Cureus.2025;[Epub]     CrossRef
Case Report
Benign bowel disease
Recurrent perianal abscess in a patient with Hermansky-Pudlak syndrome–associated granulomatous colitis: a case report
Ahmet Omak, Tevfik Kıvılcım Uprak, Wafi Attaallah
Ann Coloproctol. 2024;40(Suppl 1):S11-S14.   Published online November 19, 2021
DOI: https://doi.org/10.3393/ac.2021.00437.0062
  • 4,193 View
  • 131 Download
AbstractAbstract PDF
Hermansky-Pudlak syndrome (HPS) is a rare genetic disease consisting of the triad of oculocutaneous albinism, bleeding diathesis, and pigmented reticuloendothelial cells. In HPS patients’ granulomatous colitis could be an additional feature and perianal abscess could be seen in such patients. We report a patient with HPS-associated granulomatous colitis, refractory to medical treatment, and perianal involvement. Patients with HPS-associated granulomatous colitis and perianal involvement may require multiple surgical interventions and there is no consensus yet for treatment in such patients.
Original Article
Incidence of anal fistula after pyogenic perianal abscess drainage in Kingdom of Bahrain
Zahra Abdulla Isa Yusuf Hasan, Bayan Mohamed, Rawaa AlSayegh, Raed AlMarzooq
Ann Coloproctol. 2023;39(1):27-31.   Published online August 9, 2021
DOI: https://doi.org/10.3393/ac.2020.00962.0137
  • 7,048 View
  • 194 Download
  • 3 Web of Science
  • 4 Citations
AbstractAbstract PDF
Purpose
Perianal fistula is one of the most common anorectal diseases in adult patients, especially men. A relationship between pyogenic perianal abscess and fistula formation is established in multiple domains. This is the first exploration of such association among patients in the country as no related study has been published in Bahrain. We expect this study to be a foundation for future protocols and evidence-based practice.
Methods
A retrospective study was conducted in Salmaniya Medical Complex of Bahrain. A total of 109 patients with a diagnosis of anal abscess were included between 2015 and 2018. Data were collected from the electronic files database used in Salmaniya Medical Complex (iSeha) as well as phone calls to the patients. Collected data were analyzed using statistical software.
Results
The most predominant presentation of perianal abscess was pain. Over 50% of abscesses were classified as perianal (56.9%) and among those, left-sided abscesses were more common, followed by right-, posterior-, and anterior-sited, respectively. No recurrence of abscess was recorded among 80% of patients. A fistula developed following abscess drainage in 33.9% of patients. Most fistulas (37.8%) were diagnosed within 6 months or less from abscess drainage. Posterior fistulas were the most common, followed by anterior and left-sided fistulas.
Conclusion
The incidence of anal fistula in Bahrain after perianal abscess was 33.9%. Most of the patients who developed a fistula following pyogenic abscess drainage were males and above the age of 40 years. The most common site for fistula was posterior.

Citations

Citations to this article as recorded by  
  • Risk factors for perianal abscess recurrence after incision and drainage: a review of the literature
    Kheira Gabsi
    International Surgery Journal.2025; 12(2): 255.     CrossRef
  • Anal Cryptoglandular Suppuration
    Oladapo Akinmoladun, Quinton M. Hatch
    Surgical Clinics of North America.2024; 104(3): 491.     CrossRef
  • Proposal for a new classification of anorectal abscesses based on clinical characteristics and postoperative recurrence
    Shan-Zhong Chen, Kui-Jun Sun, Yi-Fan Gu, Hong-Yuan Zhao, Dong Wang, Yun-Fang Shi, Ren-Jie Shi
    World Journal of Gastrointestinal Surgery.2024; 16(11): 3425.     CrossRef
  • Research Progress on Diagnosis and Surgical Treatment of Perianal Deep Space Abscess
    永罡 秦
    Advances in Clinical Medicine.2023; 13(01): 180.     CrossRef
Case Report
Malignant disease,Rare disease & stoma
Extensive Resection for Treatment of Locally Advanced Primary Mucinous Adenocarcinoma Arising From Fistula-in-Ano
Jordan Au, Francis M. Hulme-Moir, Andrew Herd, Mathew A. Kozman
Ann Coloproctol. 2021;37(Suppl 1):S7-S10.   Published online November 26, 2019
DOI: https://doi.org/10.3393/ac.2019.11.19
  • 3,910 View
  • 98 Download
  • 3 Web of Science
  • 3 Citations
AbstractAbstract PDF
We report a case of a 66-year-old male who presented with a locally advanced primary mucinous adenocarcinoma arising from a fistula-in-ano. The presentation was typical for perianal sepsis and fistula-in-ano with anal pain and chronic discharge. Initial treatments with fistula debridement and seton were performed. Subsequent review of histology revealed underlying adenocarcinoma, while magnetic resonance imaging (MRI) showed local invasion into the prostate. The patient received neoadjuvant chemoradiotherapy followed by pelvic exenteration to maximize the chance of achieving cure. Features of this case are discussed together with its implications, including treatment guidelines and typical MRI findings.

Citations

Citations to this article as recorded by  
  • Perianal Mucinous Adenocarcinoma: A Case Report and a Systematic Review of the Literature
    Ioannis D. Gkegkes, Vassilis Milionis, Nikolaos Goutas, Ioannis Mantzoros, Antonia A. Bourtzinakou, Apostolos P. Stamatiadis
    Journal of Gastrointestinal Cancer.2025;[Epub]     CrossRef
  • Perianal Mucinous Adenocarcinoma Found Incidentally From Perianal Mass
    Seyed Khalafi, Malini Riddle, Brittany Harper, Vid Fikfak
    Cureus.2023;[Epub]     CrossRef
  • Advances in the Treatment of Colorectal Cancer with Peritoneal Metastases: A Focus on Cytoreductive Surgery and Hyperthermic Intraperitoneal Chemotherapy
    Youngbae Jeon, Eun Jung Park
    The Ewha Medical Journal.2023;[Epub]     CrossRef
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