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Anal abscess due to leech therapy of hemorrhoids: mumbo jumbo is still in vogue.
J Surg Case Rep 2019; 2019(7):rjz218JS

Abstract

Anorectal sepsis usually presents with anal abscesses, which may evolve to become anorectal fistulas. Most of these cases are either of cryptoglandular origin, or they develop secondary to inflammatory bowel diseases. A 32-year-old male patient applied to our Proctology Unit with severe anal pain and swelling. Three days before admission, leeches were applied to the hemorrhoidal swellings in a medical center. The abscess was drained with appropriate unroofing and search for any compartments. The patient recovered rapidly. The abscess culture and microscopy revealed mix flora with predominant Escherichia coli. After 6 months, he has been symptom-free with perfect healing of the surgical site. We need to check up on possible handicaps in our modern patient care policies that divert people to such methods. Nevertheless, such alternative methods should be regarded as nonscientific and out of context unless their efficacy and safety are documented.

Authors+Show Affiliations

Department of Surgery/Proctology, Memorial Ankara Hospital, Ankara, Turkey.Department of Surgery, Gazi University Medical School, Ankara, Turkey.Department of Surgery/Proctology, Memorial Ankara Hospital, Ankara, Turkey.Department of Radiology, Memorial Ankara Hospital, Ankara, Turkey.Department of Surgery/Proctology, Memorial Ankara Hospital, Ankara, Turkey.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

31384426

Citation

Menteş, B Bülent, et al. "Anal Abscess Due to Leech Therapy of Hemorrhoids: Mumbo Jumbo Is Still in Vogue." Journal of Surgical Case Reports, vol. 2019, no. 7, 2019, pp. rjz218.
Menteş BB, Leventoğlu S, Osmanov İ, et al. Anal abscess due to leech therapy of hemorrhoids: mumbo jumbo is still in vogue. J Surg Case Rep. 2019;2019(7):rjz218.
Menteş, B. B., Leventoğlu, S., Osmanov, İ., Kösehan, D., & Erol, T. (2019). Anal abscess due to leech therapy of hemorrhoids: mumbo jumbo is still in vogue. Journal of Surgical Case Reports, 2019(7), pp. rjz218. doi:10.1093/jscr/rjz218.
Menteş BB, et al. Anal Abscess Due to Leech Therapy of Hemorrhoids: Mumbo Jumbo Is Still in Vogue. J Surg Case Rep. 2019;2019(7):rjz218. PubMed PMID: 31384426.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Anal abscess due to leech therapy of hemorrhoids: mumbo jumbo is still in vogue. AU - Menteş,B Bülent, AU - Leventoğlu,Sezai, AU - Osmanov,İgbal, AU - Kösehan,Dilek, AU - Erol,Timuçin, Y1 - 2019/07/31/ PY - 2019/05/23/received PY - 2019/06/27/accepted PY - 2019/8/7/entrez PY - 2019/8/7/pubmed PY - 2019/8/7/medline SP - rjz218 EP - rjz218 JF - Journal of surgical case reports JO - J Surg Case Rep VL - 2019 IS - 7 N2 - Anorectal sepsis usually presents with anal abscesses, which may evolve to become anorectal fistulas. Most of these cases are either of cryptoglandular origin, or they develop secondary to inflammatory bowel diseases. A 32-year-old male patient applied to our Proctology Unit with severe anal pain and swelling. Three days before admission, leeches were applied to the hemorrhoidal swellings in a medical center. The abscess was drained with appropriate unroofing and search for any compartments. The patient recovered rapidly. The abscess culture and microscopy revealed mix flora with predominant Escherichia coli. After 6 months, he has been symptom-free with perfect healing of the surgical site. We need to check up on possible handicaps in our modern patient care policies that divert people to such methods. Nevertheless, such alternative methods should be regarded as nonscientific and out of context unless their efficacy and safety are documented. SN - 2042-8812 UR - https://www.unboundmedicine.com/medline/citation/31384426/Anal_abscess_due_to_leech_therapy_of_hemorrhoids:_mumbo_jumbo_is_still_in_vogue L2 - https://academic.oup.com/jscr/article-lookup/doi/10.1093/jscr/rjz218 DB - PRIME DP - Unbound Medicine ER -