Cryptitis: Difference between revisions
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##Infection has progressed and the crypt will not drain adequately on its own | ##Infection has progressed and the crypt will not drain adequately on its own | ||
##Surgical treatment is excision | ##Surgical treatment is excision | ||
==See Also== | |||
*[[Anorectal Disorders]] | |||
==Source== | ==Source== | ||
Revision as of 05:47, 20 February 2014
Background
- Cryptitis is a/w repetitive sphincter trauma from spasm, recurrent diarrhea, or passage of large/hard stools.
- Pathophysiology
- Anal crypts are mucosal pockets that lie between the columns of Morgagnia
- Formed by the puckering action of the sphincter muscles
- Superficial trauma (diarrhea, trauma from hard stool) → breakdown in mucosal lining
- Bacteria enter, inflammation extends into lymphoid tissue of the crypts / anal glands
- Can lead to fissure in ano, fistula in ano, perirectal abscesses
- Bacteria enter, inflammation extends into lymphoid tissue of the crypts / anal glands
- Anal crypts are mucosal pockets that lie between the columns of Morgagnia
Clinical Features
- Anal pain
- Sphincter spasm
- Itching w/ or w/o bleeding
- Hypertrophied papillae
Diagnosis
- Anoscopy shows inflammation, erythema, and pus
Treatment
- Bulk laxatives, additional roughage, sitz baths (treats underlying cause)
- Surgical referral is indicated when:
- Infection has progressed and the crypt will not drain adequately on its own
- Surgical treatment is excision
See Also
Source
Tintinalli