1. SECCA procedure for anal incontinence and antibiotic treatment: a case report of anal abscess
- Author
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Cesare Stabilini, Tommaso Testa, Marco Casaccia, Francesca Mandolfino, Rosario Fornaro, and Marco Frascio
- Subjects
medicine.medical_specialty ,medicine.drug_class ,SECCA procedure ,Antibiotics ,lcsh:Surgery ,Anal Canal ,Case Report ,Internal anal sphincter ,Anal abscess ,03 medical and health sciences ,0302 clinical medicine ,Quality of life ,Fecal incontinence ,medicine ,Humans ,Abscess ,Aged ,Anus Diseases ,Surgical approach ,SECCA procedure, Fecal incontinence, Anal abscess, Antibiotic treatment, Radiofrequency complication ,business.industry ,Incidence (epidemiology) ,Radiofrequency complication ,General Medicine ,lcsh:RD1-811 ,medicine.disease ,Antibiotic treatment ,Surgery ,Anti-Bacterial Agents ,Treatment Outcome ,030220 oncology & carcinogenesis ,Quality of Life ,030211 gastroenterology & hepatology ,Female ,medicine.symptom ,business ,Complication - Abstract
Background Fecal Incontinence (FI) can seriously affect quality of life. The treatment of fecal incontinence starts conservatively but in case of failure, different surgical approaches may be proposed to the patient. Recently several not invasive approaches have been developed. One of these is the radiofrequency (RF) energy application to the internal anal sphincter. Case presentation We report a rare case of an anal abscess related to a SECCA procedure in a 66-year-old woman affected by gas and FI for twenty years. Conclusions The complications post-SECCA procedure reported in literature are generally not serious and often self-limited, such as bleeding or anal pain. This is a case of an anal abscess. We suggest that this finding could consolidate the importance of administering antibiotic therapy to patients and to run a full course of at least 6 days rather than a short-term (24 h) therapy, with the aim to minimize the incidence of this complication.
- Published
- 2018