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    Perirectal Abscess

    Perirectal Abscess is a topic covered in the 5-Minute Emergency Consult.

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    Emergency Central is a collection of disease, drug, and test information including 5-Minute Emergency Medicine Consult, Davis’s Drug, McGraw-Hill Medical’s Diagnosaurus®, Pocket Guide to Diagnostic Tests, and MEDLINE Journals created for emergency medicine professionals. Explore these free sample topics:

    Emergency Central

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    Basics

    Description

    Localized infection and accumulation of purulent material adjacent to anus or rectum

    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
    • 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 April 20, 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 April 20]. 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
    TY - ELEC T1 - Perirectal Abscess ID - 307405 ED - Rosen,Peter, ED - Shayne,Philip, ED - Barkin,Adam Z, ED - Wolfe,Richard E, ED - Hayden,Stephen R, ED - Barkin,Roger M, ED - Schaider,Jeffrey J, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -