37 -8 (82) 2025 - Kasymov A.L. Akhmadjonov J.U. - CLINICAL AND DIAGNOSTIC CHARACTERISTICS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS

CLINICAL AND DIAGNOSTIC CHARACTERISTICS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS

Kasymov A.L. - Andijan State Medical Institute

Akhmadjonov J.U. - Andijan State Medical Institute

Mamadiev A.M. - Andijan State Medical Institute

Juraev G.G. - Andijan State Medical Institute

Resume

In this scientific article, the authors analyze the clinical and diagnostic features of deep paraproctitis in patients with diabetes mellitus, depending on its anatomical forms. The study involves 48 patients with various anatomical locations of deep forms of paraproctitis who also have diabetes mellitus. The authors examine the characteristics of the clinical course and the diagnostic instrumental studies used. They investigate the frequency of local and general clinical manifestations of deep paraproctitis in relation to anatomical locations. Additionally, the authors study the nature and frequency of severe complicated forms of deep paraproctitis based on clinical signs. The article discusses the potential of diagnostic resources. Overall, based on their research, the authors concluded that the clinical manifestations of deep paraproctitis in patients with diabetes mellitus are characterized by the predominance of systemic signs of inflammation over local symptoms, especially in PVR and RTR localizations. The examined patients demonstrated a tendency towards an atypical, subtle onset of the disease, which complicates early diagnosis and contributes to delayed hospital admission.

Keywords: deep paraproctitis, diabetes mellitus, clinical course, diagnosis.

First page

210

Last page

217

For citation:Kasymov A.L. Akhmadjonov J.U., Mamadiev A.M., Juraev G.G. - CLINICAL AND DIAGNOSTIC CHARACTERISTICS OF DEEP PARAPROCTITIS IN PATIENTS WITH DIABETES MELLITUS//New Day in Medicine 8(82)2025 210-217 https://newdayworldmedicine.com/en/new_day_medicine/8-82-2025

List of References

1. Латышева Н.В., Мешалкин С.В. Гнойно-септические осложнения в колопроктологии. – М.: ГЭОТАР-Медиа, 2020. – 160 с.
2. Оганесян Г.Ю., Ибрагимов А.И. Анализ факторов неблагоприятного течения аноректальных флегмон у больных с метаболическим синдромом. // Проблемы хирургии. – 2020. – № 5. – С. 26–31.
3. Синицын А.В., Гаврилов В.В. Острые парапроктиты: клиника, диагностика, хирургическое лечение. // Хирургия. – 2021. – № 5. – С. 45–50
4. Трусов А.А., Власов П.А. Современная проктология: диагностика и лечение. — М.: Литтерра, 2021. — 368 с.
5. García-Aguilar J., Belmonte C., Wong W.D. et al. Anal fistula surgery: factors associated with recurrence and incontinence // Dis. Colon Rectum. — 2016. — Vol. 39, No. 7. — P. 723–729
6. Golladay E.S., Keyashian K. Pelvic and perirectal abscess: clinical review and diagnostic approach // Surgical Infections. – 2019. – Vol. 20, No. 4. – P. 307–314.
7. Ismail A., Nelson R. Perirectal abscess and fistula-in-ano. // Clin Colon Rectal Surg. – 2020. – Vol. 33(4). – P. 220–225
8. Lee M.J., Sagar P.M. The challenges of managing complex anal sepsis. // Colorectal Dis. – 2021. – Vol. 23(8). – P. 2037–2044.
9. Lee M.J., Symons R. Perianal abscess: when is imaging necessary? // Emerg. Radiol. — 2019. — Vol. 26, No. 3. — P. 319–326
10. Ratto C., Litta F., Donisi L., Parello A. Contemporary management of anorectal sepsis // Colorectal Disease. – 2022. – Vol. 24, No. 5. – P. 545–553.

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