. Les maladies du rectum et anus : conçu pour les étudiants et les praticiens de la médecine. ccumulate, gâteau, et agir comme un irritant. Quand rectitis aiguë en raison d'threadworms relievedby bientôt quelques injections d'eau salée en collaboration avec santonininternally. Inflammation aiguë sera occasionnellement devenir chronique en dépit de tout traitement. La proctite chronique proctite chronique est une longue con-dition inflammatoire de la muqueuse rectale qui parfois s'étend aux tissus. theunderlying C'est rencontré plus fréquemment chez l'adulte la rectite 211 que chez les enfants, et les femmes en souffrent plus souvent e

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. Diseases of the rectum and anus: designed for students and practitioners of medicine. ccumulate, cake, and act as an irritant. Acute rectitis when due to threadworms is soon relievedby a few injections of salt-water in conjunction with santonininternally. Acute inflammation will occasionally become chronic inspite of all treatment. CHRONIC PROCTITIS Chronic proctitis is a long-established inflammatory con-dition of the rectal mucosa which sometimes extends to theunderlying tissues. It is met with more frequently in adults PROCTITIS 211 than in children, and women suffer from it more often thanmen. Etiology and Pathology. — Chronic proctitis is usually sec-ondary to the acute form, and, therefore, may be indirectlyinduced by any of the causes enumerated which give rise toacute inflammation of the rectum. This condition is oftencaused or aggravated and prolonged by pederasty, blind in-ternal fistulas, wounds which refuse to heal after rectal opera-tions, and by secretions from syphilitic, tubercular, dysenteric, or malignant ulceration. Proctologists generally recognize. Fig. 55.—Hypertrophic Proctitis, Showing Desquamated Fatty Epithelia, Leu-cocytes, Calcium-Oxalate Crystals, and Bacteria. (Objective, 6; ocular, iv; Leitz.) two varieties of chronic proctitis, namely: Jiypertrophic andatrophic. The hypertrophic variety (Fig. 55) may begin as acutehypertrophic proctitis, and is frequently of syphilitic origin.At the onset the mucous membrane is highly inflamed, edem-atous, and covered by an abundance of thick, tenacious mucuscontaining some pus. As the inflammation proceeds, the mem-brane becomes less sensitive, thickened, and less pliable; theamount of pus-secretion increases, and is mixed with mucusand blood. If this disease be allowed an uninterrupted course, it re-sults in the formation of polypoid excrescences, or in stricture due 212 DISEASES OF THE RECTUM AND ANUS to an increased amount of fibrous tissue {proliferating stenosingrectitis of Hamonic). In the

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