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Perianal abscesses due to ingested foreign bodies

S Delikoukos1, D Zacharoulis, C Hatzitheofilou

  • 1Department of Surgery, Larissa University Hospital, Larissa, Greece. morfula@otenet.gr

International Journal of Clinical Practice
|June 21, 2005
PubMed

Insights

Foreign bodies (FBs) in the anal canal can cause perianal abscesses, mimicking common anal pain causes. Prompt diagnosis and removal of impacted FBs alongside abscess drainage offer immediate relief and cure.

Area of Science:

  • Gastroenterology
  • Colorectal Surgery

Background:

  • Perianal abscesses are common surgical emergencies.
  • Diagnosis can be challenging due to overlapping symptoms with other acute anal conditions.

Observation:

  • Reported are four cases of perianal abscesses caused by foreign bodies (FBs) lodged in the anal canal.
  • Clinical presentation often mimics more common causes of acute anal pain.
  • Standard diagnostic methods like digital rectal examination and proctoscopy may not always detect impacted FBs.

Findings:

  • Incision and drainage of the abscess combined with FB removal provides rapid pain alleviation.
  • This combined approach leads to a definitive long-term cure for the condition.

Implications:

  • Foreign bodies represent an unusual but significant etiology for perianal abscesses.
  • Clinicians should maintain a high index of suspicion for impacted FBs in patients presenting with perianal abscesses.
  • Ensuring thorough examination for FBs is crucial for accurate diagnosis and effective treatment.

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