Dis Colon Rectum. 1999 Dec;42(12):1598-601. Unique Identifier : AIDSLINE
PURPOSE: The aim of this article is to show our results from the
surgical treatment of idiopathic anal ulcers. METHODS: We present 33
patients with acquired immunodeficiency syndrome and idiopathic perianal
ulcers. They presented with anal pain that failed to improve with
medical treatment. Evaluation under anesthesia typically showed an
irregular ulcer in the anal canal and an intersphincteric abscess.
Surgical treatment consisted of an incision around the ulcer, its
excision including margins but not its base, and abscess drainage.
RESULTS: All patients experienced significant immediate postoperative
pain relief. Biopsies of the ulcer showed chronic inflammation, and no
specific agents appeared in cultures. CONCLUSIONS: These lesions seem to
have the same cryptogenic origin as perianal abscesses, and we recommend
surgical treatment to provide symptom relief.
JOURNAL ARTICLE Abscess/COMPLICATIONS/SURGERY Acquired
Immunodeficiency Syndrome/COMPLICATIONS Adult Anus
Diseases/COMPLICATIONS/SURGERY Anus Neoplasms/DIAGNOSIS Biopsy
Bowen's Disease/DIAGNOSIS Carcinoma in Situ/DIAGNOSIS Carcinoma,
Squamous Cell/DIAGNOSIS Chronic Disease Cytomegalovirus
Infections/DIAGNOSIS Drainage Female Fissure in
Ano/COMPLICATIONS/*SURGERY/VIROLOGY Follow-Up Studies Human HIV
Infections/COMPLICATIONS HIV Seropositivity/*COMPLICATIONS Male
Proctitis/PATHOLOGY Wound Healing