Cryptitis Surgery- Colorectal Medicine

• Cryptitis is associated with repetitive sphincter trauma from spasm, recurrent diarrhea, or passage of large/hard stools.
• Pathophysiology
  • Anal crypts are mucosal pockets that lie between the columns of Morgagnia
    • Formed by the puckering action of the sphincter muscles
  • Superficial trauma (diarrhea, trauma from hard stool) → breakdown in mucosal lining
    • Bacteria enter, inflammation extends into lymphoid tissue of the crypts / anal glands
    • Can lead to anal fissure, anal fistula, perirectal abscesses

Surgical referral is indicated when:

• Infection has progressed and the crypt will not drain adequately on its own
• Surgical treatment is excision

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