Proctological emergencies, their approach in emergency areas
DOI:
https://doi.org/10.55204/trc.v3i2.e235Keywords:
hemorrhoidal disease, perineal abscess, thrombosed hemorrhoids, anal fissures, anal fistulas, Fournier's gangreneAbstract
Introduction: Proctologic emergencies are a common cause of consultation in emergency medical service. For patients, this type of problem not only involves dealing with symptoms, but also dealing with feelings of embarrassment or discomfort, often resulting in late medical evaluation in relation to the onset of symptoms.
Development: For the emergency physician, it is a challenge to accurately determine the diagnosis and appropriate treatment, as well as to assess the need for hospitalization or referral to a specialist. Therefore, basic knowledge is essential for the diagnosis and initial management of common pathologies such as anal pain, anal bleeding, and perianal bulging.
Practical applications: The purpose of this review is to provide the necessary fundamentals for an adequate diagnosis and management of the proctologic pathologies that most frequently require emergency care.
Conclusions: The choice of optimal treatment should be based on individual assessment and consideration of risk factors and patient preferences. More research is needed to improve our understanding of these complications and develop more effective and safer therapeutic approaches.
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