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Perirectal Abscess

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

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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

Barkin, Adam Z., 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: Barkin AZ, Barkin RM, Hayden SR, 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 February 18, 2019.

Perirectal Abscess. (2016). In Barkin, A. Z., Barkin, R. M., Hayden, S. R., Rosen, P., Schaider, J. J., Shayne, P., & Wolfe, R. E. (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: Barkin AZ, Barkin RM, Hayden SR, Rosen P, Schaider JJ, Shayne P, Wolfe RE, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2019 February 18]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307405/all/Perirectal_Abscess

* When formatting your citation, note that all book, journal, and database titles should be italicized* Article titles in AMA citation format should be in sentence-case

TY - ELEC T1 - Perirectal Abscess ID - 307405 ED - Barkin,Adam Z, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Shayne,Philip, 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 - 5 DB - Emergency Central DP - Unbound Medicine ER -