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Perianal abscess in children
1Department of Surgery, Southend General Hospital, Westcliff-on-Sea, Essex.
Insights
Paediatric perianal abscesses share clinical and microbiological traits with adult cases but have a higher incidence of associated diseases. Incision and drainage is the recommended treatment for children, with a need to rule out underlying conditions.
Area of Science:
- Pediatric Surgery
- Infectious Diseases
Background:
- Perianal abscesses are common in children.
- Understanding their features is crucial for effective management.
Purpose of the Study:
- To review clinical and microbiological features of pediatric perianal abscesses.
- To assess optimal treatment strategies and associated conditions.
Main Methods:
- Retrospective review of 16 pediatric cases over 5 years.
- Analysis of clinical presentation and microbiological data.
Main Results:
- Pediatric perianal abscesses resemble adult cases clinically and microbiologically.
- Higher incidence of associated diseases noted in pediatric patients.
- Incision and drainage identified as the preferred treatment.
Conclusions:
- Standard treatment for pediatric perianal abscess is incision and drainage.
- Exclusion of underlying contributing diseases is essential in pediatric cases.
Abstract:
The records of 16 children presenting with a diagnosis of perianal abscess, over a 5-year period, were reviewed. The clinical and microbiological features of paediatric perianal abscesses are similar to those found in adults, although the incidence of associated diseases is higher in paediatric patients. Perianal abscesses in children are best treated by incision and drainage. The presence of an underlying contributing disease should be excluded.