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The occurrence of a brain abscess secondary to a perirectal abscess and a stricture of the rectum is so unusual that this case merits report.
REPORT OF CASE
T. H., a colored man, aged 55, a chef, was admitted to Mount Sinai Hospital, May 12, 1924, because of incontinence of the bowels. For eight years he had difficulty in controlling his bowel movements, and had a continuous foul discharge about the anus. He had lost 50 pounds (22.7 Kg.) in the past eight years.Examination revealed, on each side of the anus, a hard indurated area involving both ischiorectal fossae. Six or more sinuses discharged a foul, greenish-yellow pus from fistulous tracts, which extended into the rectum and ischiorectal fossae. Rectal examination disclosed a stricture situated about 1½ inches above the anal orifice. It was impossible to pass the tip of the index finger beyond this point in the bowel.
SCHAFER CS. METASTATIC BRAIN ABSCESS SECONDARY TO PERIRECTAL ABSCESS AND STRICTURE OF RECTUM: REPORT OF CASE. JAMA. 1927;88(4):240–241. doi:10.1001/jama.1927.02680300026007
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