Epithelial coccygeal move - even though the disease is not related to the field of proctology, but nevertheless occurs frequently and can often be confused with other diseases of the rectum.
Epithelial-coccygeal move - a canal that goes from the sacrococcygeal region and opens the skin by one or several holes, usually in the midline between the buttocks.
Proceedings of the channel can be varied, both direct and winding, the average length of 2 - 3 see myself such a channel is not directly connected with the coccyx. In contrast, rectal (adrectal) fistula, epithelial coccygeal move inside is covered with epithelium, which may contain hair follicles and sweat and sebaceous glands.
Causes of epithelial coccygeal
Epithelial coccygeal course is a congenital abnormal development, which is manifested by the fact that under the skin in the area between the buttocks is the channel that is covered within the epithelium. This is a fairly frequent disease.
Some foreign experts have an opinion that the cause of epithelial coccygeal may be abnormal growth of hair, ingrown hair occurs when the skin folds in the mezhyagodichnoy, which leads to the formation of cysts.
Manifestations of epithelial coccygeal
The main feature of epithelial coccygeal is pus in the area of the coccyx. Often this occurs after a trauma of this area. Pain and other symptoms are usually not marked.
Of course this despite the fact that it is a congenital defect, has no special influence on child development. Usually, manifestations of epithelial coccygeal begin in adolescence (ie, with the onset of puberty). This is associated with increased hair growth, including the epithelium into the lumen of the course. In Noah accumulated discharge of sebaceous and sweat glands also plays a special role and proximity to this area of the anus, which could result in contamination of the intestinal microflora.
When joining the microflora there is inflammation. If the channel is quite narrow, and its opening is thin, and the outflow of pus is bad, the infection can pass to the surrounding tissue. In addition, inflammation contribute to different injury in the coccyx, expressed abundant hair on the sacrum and coccyx. Lack of proper personal hygiene is also a risk factor for inflammation in the course of epithelial coccygeal.
Inflammation in the course of epithelial coccygeal manifests the appearance of pain in this area, as well as the attached pus. If the infection is transferred to the surrounding fat (such as often occurs), then the pain is getting stronger, move around the seal appears, redness of the skin (this is called infiltration). In the long infiltrate without antibiotics infiltration may go into an abscess.
This abscess is usually necessary to open, if only he had no time to be uncovered on the skin. In this case the patient feels easier, the pain subsided considerably, but it's purulent discharge does not pass, with a secondary abscess may form a fistula.
Often, if a patient with the abscess comes to a doctor, and made only his autopsy, it is impossible to talk about healing. Purulent process may completely go through the wound closes, but the course remains in place, so there is always a risk of exacerbation of the disease that happens. Therefore, looking ahead, it may be noted that the only method of treatment of epithelial coccygeal - is its surgical excision.
So, if you had an inflammation of epithelial coccygeal, which was held after the treatment dressings, opening an abscess, or yourself, then you should not assume that it is now a full recovery - the process of intensification occurs almost always. For this purpose it is enough to trauma, hypothermia, or poor personal hygiene.
Classification of epithelial coccygeal
According to the nature of the flow of an epithelial coccygeal the following types: Uncomplicated course of epithelial coccygeal (when there are no clinical signs) Acute inflammation of epithelial coccygeal:
The stage of infiltration
The stage of abscess
Chronic inflammation of epithelial coccygeal:
The stage of infiltration
Stage of recurrent abscess
The stage of purulent fistula
Remission of inflammation of epithelial coccygeal
Possible complications of epithelial coccygeal
The absence of long-term radical treatment of epithelial coccygeal can cause the formation of multiple fistulas, which are already open area away from the primary coccygeal. It can be opened in the perineum, the scrotum, the inguinal folds, and even the abdomen.
Secondary fistulas, especially with purulent discharge may lead to the development of pyoderma - the appearance of the skin pustules. In some cases the entire skin of the perineum and the coccyx is straight, "dotted" fistulous passages, in which the hair grows, and there is pus. In this case, the doctor is forced to excise the skin over a large area, otherwise it may be a relapse.
It is extremely rare in long-term inflammation in the epithelial coccygeal course may be cancer.