Ver el código de «Cryptitis/en»

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==Background==

[[File:Gray1080.png|thumb|The interior of the anal cami and lower part of the rectum, showing the anal columns and the anal valves between their lower ends (columns in image numerous than typical).]]
[[File:Gray1078.png|thumb|Coronal section of rectum and the anal canal.]]
[[File:Rectum anatomy en.png|thumb|Anatomy of the anus and rectum.]]
*Cryptitis is associated with repetitive sphincter trauma from spasm, recurrent [[Special:MyLanguage/diarrhea|diarrhea]], or passage of large/hard stools.


===Pathophysiology===

*Anal crypts are mucosal pockets that lie between the columns of Morgagni (i.e., anal columns)
**Anal columns  are a number of vertical folds, produced by an infolding of the mucous membrane and some of the muscular tissue in the upper half of the lumen of the anal canal.
**Formed by the puckering action of the sphincter muscles
*Superficial trauma ([[Special:MyLanguage/diarrhea|diarrhea]], trauma from hard stool) → breakdown in mucosal lining
**Bacteria enter, inflammation extends into lymphoid tissue of the crypts / anal glands
***Can lead to [[Special:MyLanguage/anal fissure|anal fissure]], [[Special:MyLanguage/anal fistula|anal fistula]], [[Special:MyLanguage/perirectal abscesses|perirectal abscesses]]


==Clinical Features==

*Anal pain
*Sphincter spasm
*Itching with or without bleeding
*Hypertrophied papillae


==Differential Diagnosis==

{{Anorectal DDX}}


==Evaluation==

*Anoscopy shows inflammation, erythema, and pus

==Management==

#Bulk [[Special:MyLanguage/laxatives|laxatives]], additional roughage, sitz baths (treats underlying cause)
#Surgical referral is indicated when:
#*Infection has progressed and the crypt will not drain adequately on its own
#*Surgical treatment is excision


==Disposition==

*Outpatient


==See Also==

*[[Special:MyLanguage/Anorectal Disorders|Anorectal Disorders]]



==External Links==


==References==

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[[Category:GI]]