Perirectal Abscess
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 species
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Citation
Schaider, Jeffrey J., et al., editors. "Perirectal Abscess." 5-Minute Emergency Consult, 6th ed., Lippincott Williams & Wilkins, 2020. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess.
Perirectal Abscess. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess. Accessed November 8, 2024.
Perirectal Abscess. (2020). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (6th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess
Perirectal Abscess [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2020. [cited 2024 November 08]. 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 - Barkin,Adam Z,
ED - Shayne,Philip,
ED - Rosen,Peter,
ED - Schaider,Jeffrey J,
ED - Barkin,Roger M,
ED - Hayden,Stephen R,
ED - Wolfe,Richard E,
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 - 6
DB - Emergency Central
DP - Unbound Medicine
ER -