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Published on: September 11, 2018
Perianal abscesses due to ingested foreign bodies.
Mbarek Doublali1, Ali Chouaib, Mohammed Jamal Elfassi
1Department of Urology, University Hospital Center, Fez, Morocco.
Journal of Emergencies, Trauma, and Shock
|November 11, 2010
Summary
Perianal abscesses caused by impacted foreign bodies (FBs) can mimic common anal pain. Prompt diagnosis and removal of the FB during incision and drainage offer immediate relief and cure.
Area of Science:
- Gastroenterology
- Colorectal Surgery
- Emergency Medicine
Background:
- Perianal abscesses present with acute anal pain, often mimicking common anorectal conditions.
- Foreign bodies (FBs) impacted in the anal canal are an infrequent but significant cause of perianal abscesses.
- Standard diagnostic methods like digital rectal examination and proctoscopy may not always identify an impacted FB.
Observation:
- A case of perianal abscess is presented where a foreign body was impacted in the anal canal.
- The clinical presentation was similar to typical causes of acute anal pain.
Findings:
- Incision and drainage of the abscess combined with foreign body removal led to immediate pain resolution.
- The foreign body was the underlying cause of the perianal abscess.
Implications:
- Foreign bodies impacting the anal canal should be considered in the differential diagnosis of perianal abscesses.
- Early identification and removal of impacted foreign bodies are crucial for effective treatment and patient recovery.
- This case highlights the importance of considering unusual etiologies in perianal abscess management.
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