How does a cyst differ from a stroke?
Epithelial-coccygeal cyst is the same congenital pathology, but with the formation of a cavity, and not just a narrow canal. When there is suppuration, the abscess is usually larger and the area of inflammation is wider, so opening requires a wider incision and full drainage of the cavity with washing. The tactics are the same: first, an urgent opening, then after 1–3 months, radical excision of the cyst with tracts. An attempt to excise a cyst against the background of acute purulent inflammation sharply increases the risk of wound suppuration and relapse.
The purulent process does not wait
Acute paraproctitis is a purulent inflammation of the tissue around the rectum. It is manifested by increasing throbbing pain, swelling, redness and high temperature. This is an emergency condition: pus spreads through the cellular spaces, and a delay of several days turns a limited abscess into an extensive phlegmon.
Antibiotics do not work here without opening: they cannot penetrate the cavity delimited by a purulent capsule. The only effective approach is opening and drainage.
Basic conditions
- acute paraproctitis - an abscess in the perirectal tissue
- suppurating pararectal cyst - inflammation of a pre-existing cystic formation
- suppurating epithelial-coccygeal tract - inflammation of the congenital canal in the intergluteal fold
- suppurating epithelial-coccygeal cyst - a cavitary form of the same process
- boil - purulent inflammation of the hair follicle
What happens after opening
An autopsy relieves the acute condition: pain and fever go away within 24 hours. However, with paraproctitis and the coccygeal tract, after healing, a fistula often forms, requiring planned radical intervention in 1–3 months. The patient is warned about this in advance - this is not a complication, but a natural stage in the course of the disease.