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Proctologie pédiatrique courante

Common perianal disease in children

  • Dossier Thématique / Thematic File
  • Published:
Côlon & Rectum

Résumé

Les motifs de consultation en proctologie pédiatrique sont variés, le plus souvent bénins et de prise en charge non chirurgicale. Les pathologies infectieuses les plus fréquemment rencontrées sont l’abcès de la marge anale, dont la prise en charge reste controversée, et l’anite streptococcique qui est souvent diagnostiquée avec retard et récidive en cas de traitement antibiotique mal conduit ou de mauvaise observance. La fissure anale est la pathologie non infectieuse la plus fréquente et est suivie du prolapsus rectal. Ces deux pathologies nécessitent une prise en charge de leur facteur déclenchant principal qu’est la constipation. L’élimination d’une mucoviscidose est de plus indispensable en cas de prolapsus rectal. Les lésions périanales attribuables à des sévices sexuels sont souvent complexes à diagnostiquer et ne doivent pas être sur- ou sous-estimées par manque de connaissances des particularités et variations anatomiques de l’enfant.

Abstract

The reasons for children to consult in pediatric proctology are various, usually benign and non-surgical. The main infectious diseases are perianal abscess which management remains controversial, and perineal streptococcal infection which is often delayed in diagnosis and has a high recurrence in case of poor compliance or inappropriate treatment. Anal fissure and rectal prolapse are the most frequent non infectious diseases, and they are both related to constipation which must be treated effectively. Cystic fibrosis must be investigated in case of rectal prolapse. Perianal lesions secondary to sexual abuse are often really difficult to diagnose certainly and should not be under- or over-estimated because of a lack of knowledge in perianal findings in children.

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Authors and Affiliations

  1. Service de chirurgie pédiatrique, CHU Nantes, INSERM-UMR 913, 44000, Nantes, France

    A. Dariel

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  1. A. Dariel
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Correspondence to A. Dariel.

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Dariel, A. Proctologie pédiatrique courante. Colon Rectum 9, 139–148 (2015). https://doi.org/10.1007/s11725-015-0592-4

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  • DOI: https://doi.org/10.1007/s11725-015-0592-4

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