Anorectal Abscess
Types
- Peri-anal
- hair follicle
- sebaceous gland
- peri-anal haematoma
- ischiorectal
- intermuscular
- between internal and external sphincters
- pelvirectal - rare
Symptoms & Signs
- Constant, throbbing perianal pain
- Worse on sitting
- (Pelvi-rectal) May be lower abdominal pain
- Indurated tender mass perianally
- Boggy mass PR -ishiorectal fossa or anteriorly (pelvirectal
- Fever
Treatment
- Incision, curretage and packing
- + Antibiotics only indicated in diabetics and immunocompromised
Complications
|