Perirectal Abscess
Perirectal Abscess is a topic covered in the 5-Minute Emergency Consult.
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Basics
Description
Description
Localized infection and accumulation of purulent material adjacent to anus or rectum
Etiology
Etiology
- Anal crypt gland infection, with spread to adjacent areas separated by muscle and fascia:
- Perianal:
- Most common
- Usually with red bulge near anus
- Ischiorectal:
- Large potential space
- May become very large before diagnosed
- Can communicate posteriorly with other side forming “horseshoe” abscess
- Intersphincteric:
- Contained at primary site of origin between internal and external sphincters
- Supralevator:
- Very deep above levator ani
- Needs operative débridement under general anesthesia
- Often systemic symptoms before diagnosis is made
- Perianal:
- Bacterial cause is typically a mix of stool pathogens:
- Associated diseases:
- Diabetes
- Inflammatory bowel disease
- Malignancy
- Immunocompromised host
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Citation
Rosen, Peter, et al., editors. "Perirectal Abscess." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess.
Perirectal Abscess. In: Rosen P, Shayne P, Barkin AZ, et al, eds. 5-Minute Emergency Consult. 5th ed. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess. Accessed December 7, 2019.
Perirectal Abscess. (2016). In Rosen, P., Shayne, P., Barkin, A. Z., Wolfe, R. E., Hayden, S. R., Barkin, R. M., & Schaider, J. J. (Eds.), 5-Minute Emergency Consult. Available from https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess
Perirectal Abscess [Internet]. In: Rosen P, Shayne P, Barkin AZ, Wolfe RE, Hayden SR, Barkin RM, Schaider JJ, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 December 07]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess.
* Article titles in AMA citation format should be in sentence-case
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