A rare case of acute paraproctitis of non-cryptogenic etiology 

Konstantin I. Sergatskiy, Doctor of medical sciences, associate professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: sergatsky@bk.ru
Valeriy I. Nikol'skiy, Doctor of medical sciences, professor, professor of the sub-department of surgery, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: nvi61@yandex.ru
Elnara R. Abubekerova, Student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: elnara.abubekerova@mail.ru
Mokhammad Al'dzhabr, Postgraduate student, Medical Institute, Penza State University (40 Krasnaya street, Penza, Russia), E-mail: mahammad.aljabr@yandex.ru
Oleg V. Prostochenko, Coloproctologist of the department of coloproctology, Penza Regional Clinical Hospital named after N.N. Burdenko (28 Lermontova street, Penza, Russia), E-mail: kazakOVP1964@gmail.com 

Background. Acute paraproctitis of cryptogenic genesis is a well–studied and widely sanctified problem in the literature. The purpose of the study is to demonstrate a clinical case of suppuration of pararectal fiber and soft tissues of adjacent anatomical areas of non-cryptogenic etiology Materials and methods. A clinical case of acute paraproctitis of non-cryptogenic etiology is presented. Regardless of the etiology of the inflammatory process, the treatment of patients with acute paraproctitis is a complex and time-consuming process that requires a lot of experience from a coloproctologist and, sometimes, great patience from the patient himself. The high prevalence of the purulent process required an emergency operation using the principles of purulent surgery. Conclusions. The conducted clinical observation suggests that non-cryptogenic causes of suppuration of pararectal fiber are currently quite relevant and require special attention. Strict adherence to the principles of management of patients with soft tissue phlegmon made it possible to achieve a satisfactory result in the treatment of a patient with acute paraproctitis of non-cryptogenic etiology. 

acute paraproctitis, phlegmon of soft tissues, cryptoglandular theory of pathogenesis, surgical rehabilitation 

Sergatskiy K.I., Nikol'skiy V.I., Abubekerova E.R., Al'dzhabr M., Prostochenko O.V. A rare case of acute paraproctitis of non-cryptogenic etiology. Izvestiya vysshikh uchebnykh zavedeniy. Povolzhskiy region. Meditsinskie nauki = University proceedings. Volga region. Medical sciences. 2024;(2):43–51. (In Russ.). doi: 10.21685/2072-3032-2024-2-4