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Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Advice please. Starting to leak again...



08-21-2014, 05:34 PM   #1
Sazzle
 
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Advice please. Starting to leak again...

Hi all
I had a very large perineal abscess removed on a June 18th.....my transsphincteric fistula op is due on September 18th.....

The closure of the abscess site took about 6 weeks to heal, I stopped wearing dressing on it about 3 weeks ago. It was fine, clean and no trouble until yesterday.....
I noticed some blood spotting in my undies yesterday, today I've noticed discharge/puss spotting from it and the scar area feels uncomfy.

Any thoughts?

XX
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Perennial Abscess diagnosed April 2014
MRI in June 2014 - Transphincteric Fistula aswell as the Abscess.
June 18th 2014 - Abscess removed under general anaesthetic .Wound packed and dressed daily for 8 weeks.
September 18th 2014 - Fistula "laid open" under general anaesthetic - wound packed and dressed daily for 6 weeks.
November 16th 2014 - As above.
April 28th 2015 - Seton placed under general anaesthetic . Leaking everything at present. Itchy. Sore.
08-21-2014, 07:46 PM   #2
DJW
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I have an area in my groin that was drained. It was dressed and healed. Its now draining a bit. The nurse said to keep it cleaned and covered. I didn't have a fistula. It may be nothing but I'd give the doctor a call.
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08-22-2014, 09:29 AM   #3
Sailorluna
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you mentioned a fistula op. Did it feed this abscess site? It sounds like they did not place a seton?
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08-22-2014, 12:05 PM   #4
Sazzle
 
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I was taken in via A&E as the abscess had started to burst - the MRI I had showed the fistula as well as the abscess - the plan was to operate on both - however when I came round they explained that the fistula was too tricky to operate on ( they would rather a specialist surgeon do it as it's a transsphincteric fistula, rather than a general surgeon)

So I had the abscess removed, which was left open and packed for 5 weeks .

I believe the fistula was there first ( as I was already seeing the doctor for constipation issues and cramps ) so yes, in my opinion the fistula is what caused the abscess rather than vice versa....

I'm worried that the abscess is reforming as I'm getting a tingling feeling on the scar tissue area...

My partner has looked at the site, and he says he can see small amounts of blood coming from the scar area -

I have contacted my general doctor, however I can't see him until Tuesday!

XX
08-22-2014, 02:41 PM   #5
Sailorluna
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It is very possible that it is reforming. As long as the fistula is there it can continue to drain and form abscesses. It is wise to have a colorectal surgeon take care of it. Maybe they can get you on antibiotics?
08-22-2014, 02:58 PM   #6
Sazzle
 
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The doctor prescribed antibiotics over the phone today which I've started.....as it's a bank holiday here so I can't see him until Tuesday..... So you and him are thinking on the same path - thankyou so much for listening xx xx
08-22-2014, 08:53 PM   #7
Jay Woodman
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Hi all
I had a very large perineal abscess removed on a June 18th.....my transsphincteric fistula op is due on September 18th.....

The closure of the abscess site took about 6 weeks to heal, I stopped wearing dressing on it about 3 weeks ago. It was fine, clean and no trouble until yesterday.....
I noticed some blood spotting in my undies yesterday, today I've noticed discharge/puss spotting from it and the scar area feels uncomfy.

Any thoughts?

XX
Sazzle, Based on my experience to date with Perianal Abscesses following the I & D of my abscess fistulas develop following surgery & they tend to discharge blood & pus & the scar area will usually be very tender. I now have a third fistula awaiting seton placement in September. It has developed following the drainage of an abscess in April. Some days it is very tender & uncomfortable.
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Crohn's Disease Forum » Surgery » Fistulas, Fissures and Abscesses » Advice please. Starting to leak again...
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