Cryptitis: Difference between revisions
(Created page with "==Background== *Anal crypts are mucosal pockets that lie between the columns of Morgagnia **Formed by the puckering action of the sphincter muscles *Superficial trauma (diarrhea,...") |
(content edit) |
||
| Line 1: | Line 1: | ||
==Background== | ==Background== | ||
*Anal crypts are mucosal pockets that lie between the columns of Morgagnia | *Cryptitis is a/w repetitive sphincter trauma from spasm, recurrent diarrhea, or passage of large/hard stools. | ||
**Formed by the puckering action of the sphincter muscles | *Pathophysiology | ||
*Superficial trauma (diarrhea, trauma from hard stool) | **Anal crypts are mucosal pockets that lie between the columns of Morgagnia | ||
**Bacteria enter, inflammation extends into lymphoid tissue of the crypts / anal glands | ***Formed by the puckering action of the sphincter muscles | ||
***Can lead to fissure in ano, fistula in ano, perirectal abscesses | **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 | |||
==Clinical Features== | ==Clinical Features== | ||
*Anal pain | *Anal pain | ||
Revision as of 02:51, 2 January 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
Source
Tintinalli