. Diseases of the rectum and anus: designed for students and practitioners of medicine. and finger until the inflammatoryarea is felt as a firm, rounded, painful swelling. When super-ficial or when much pus has accumulated, there is bulging ofthe skin, which is glistening, red, and inflamed, and fluctuationis evident. PROGNOSIS The prognosis of follicular and marginal abscess is invari-ably good when they are properly treated. The same can besaid of the intermural and ordinary ischio-rectal forms in so far PERIPROCTITIS 229 as life is concerned; but they sometimes require a long timeand severa
. Diseases of the rectum and anus: designed for students and practitioners of medicine. and finger until the inflammatoryarea is felt as a firm, rounded, painful swelling. When super-ficial or when much pus has accumulated, there is bulging ofthe skin, which is glistening, red, and inflamed, and fluctuationis evident. PROGNOSIS The prognosis of follicular and marginal abscess is invari-ably good when they are properly treated. The same can besaid of the intermural and ordinary ischio-rectal forms in so far PERIPROCTITIS 229 as life is concerned; but they sometimes require a long timeand several operations to effect a cure; in exceptional cases,where they communicate with adjacent organs, dangerouscomplications may develop. The prognosis of pelvi-rectal ab-scess is grave, because of the danger of death from , it leaves adhesions and burrowing sinuses, which aredifficult to manage. In gangrenous periproctitis and abscess the prognosis iseven more grave than in the preceding form, and, when notpromptly arrested, death follows either from extension to the. Fig. 58.—Symmetric Ischio-rectal Abscesses. (Authors Case.) bladder or peritoneum, or from septicemia or exhaustion. Theprognosis of erysipelatous periproctitis is favorable when thedisease can be limited to a small area, but bad when it cannotbe controlled. TREATMENT Very little can be accomplished in the treatment of peri-proctitis and ano-rectal abscess by non-operative measures. Inmost cases periproctitis terminates in abscess in spite of alltreatment, and the rules governing the management of ab-scess in other parts of the body should be adhered to in these 230 DISEASES OF THE RECTUM AND ANUS cases. The patient should be made as comfortable as possibleby the application of heat or cold, rest in bed, and the use ofmild laxatives, until the diagnosis of abscess is certain, whenthe swelling should be freely incised without delay. The authorhas had very little success in the abortive treatment o
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Keywords: ., bookcentury1900, bookdecade1910, booksubjectanusdis, bookyear1910
