Abstract
As the long-term survials of the patients with acute leukemia have gained recently by means of intensive cytotoxic therapy, anorectal complications have frequently been encountered in these patients.
There were sixteen anorectal complications among 147 patients treated at the 1st Department of internal medicine, Nagoya university Hospital over a six-year period.
The twelve cases of 16 anorectal complications were treated with conservative therapy and the four cases were with incision and drainage technique.
Although it is said that incision and drainage must be performed within a complete hematological remission, the adequate incision and drainage may be necessary in any stage except acute stage.
If both subjective and objective symptomes deteliorate progressively even when abscess is inmature, because incision and drainage may prevent from sepsis and relieve pain.
Incision wound must be limited in the minimal size where exough drainage is enabled for the hemorrhagic diathesis acute leukemia.
The features of anorectal complication in acute leukemia.
(1) Healing of the incisino wound is delayed and sometimes imperfect.
(2) Abscess fluid is pus or watery liquid.
