Intractable Anal Diseases : Others

Abstract

In this paper, we reported three cases of intractable anal diseases, and pointed out the clinical features of them.
Case 1, a 66-year-old-man with Fourniers' syndrome, was admitted to our hospital because of progressively spreading cellulitis involving the perineum and scrotum. Mortality rate of this syndrome is high, however we could treat him immediately and correctly by making use of our experience of similar case which we struggled over 10 years ago.
Case 2, a 20-year-old-woman with diffuse cavernous hemangioma of the anorectal region and sigmoid colon, was hospitalized with a long-standing history of intermittent massive rectal bleeding and anemia. We performed considerately low anterior resection instead of abdominoperineal resection because of her age. The remainder of the hemangioma in the lower part of the rectum and the anal canal caused various intractable conditions, such as bleeding, pain, perianal abscess ets..
Case 3, a 45-year-old-man, had received radical operation for pelvi-rectal fistula at the beginning. But the post operative clinical features were very similar to that of fistula-cancer. Abdominoperineal resection of the rectum was performed 4 months later, and finally pathological study of the surgical specimen proved duplication of the rectum.