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Related Concept Videos

Abdominal Regions and Quadrants01:19

Abdominal Regions and Quadrants

To promote clear communication, for instance, about the location of a patient's abdominal pain or a suspicious mass, anatomists and clinicians typically use imaginary lines to categorize the abdominopelvic cavity into either four quadrants or nine regions to identify organs in the cavity.
The simpler quadrants approach, which is more commonly used in medicine, subdivides the cavity with one horizontal and one vertical line that intersects at the patient's umbilicus (navel). The four quadrants...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
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Assessment of the Rectum and Anus01:25

Assessment of the Rectum and Anus

Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
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Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Appendicitis01:19

Appendicitis

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Inflammatory Bowel Disease II: Crohn's Disease01:30

Inflammatory Bowel Disease II: Crohn's Disease

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Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
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Inflammatory Bowel Disease I: Ulcerative Colitis01:27

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Related Experiment Video

Updated: May 14, 2026

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection
05:32

Povidone Iodine Rectal Preparation at Time of Prostate Needle Biopsy is a Simple and Reproducible Means to Reduce Risk of Procedural Infection

Published on: September 21, 2015

Beware the ischiorectal abscess.

A M Hogan1, M Mannion, R S Ryan

  • 1Department of Surgery, Mayo General Hospital, Castlebar, Co. Mayo, Ireland; Department of Radiology, Mayo General Hospital, Castlebar, Co. Mayo, Ireland.

International Journal of Surgery Case Reports
|February 12, 2013
PubMed
Summary
This summary is machine-generated.

A rare case of an ischiorectal abscess connected to the spinal canal, likely due to an anterior sacral myelomeningocele (ASM), presented significant management challenges. This connection led to sepsis and coagulopathy, highlighting the rarity of such deep sinus formations.

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Area of Science:

  • General Surgery
  • Neurosurgery
  • Radiology

Background:

  • Ischiorectal abscesses rarely form sinuses with deep structures, and continuity with the spinal canal is exceptionally uncommon.
  • Anterior sacral myelomeningocele (ASM) is a rare congenital condition involving protrusion of meningeal tissue through a defect in the sacrum.

Purpose of the Study:

  • To report a unique case of an ischiorectal abscess with direct continuity to the spinal canal.
  • To discuss the diagnostic and management challenges of a complicated anterior sacral myelomeningocele in a general hospital setting.

Main Methods:

  • A 65-year-old male presented with sepsis, coagulopathy, and symptoms suggestive of spinal involvement.
  • MRI of the rectum revealed a fluid collection connected to the spinal canal containing meningeal tissue, consistent with an ischiorectal abscess and an underlying ASM.
  • The patient was managed with broad-spectrum antibiotics, and neurosurgical consultation was obtained.

Main Results:

  • The patient presented with severe sepsis and coagulopathy, precluding immediate lumbar puncture.
  • The abscess spontaneously fistulated, draining cerebrospinal fluid (CSF)-like fluid, leading to systemic improvement.
  • Despite the critical condition, the patient declined definitive surgical intervention.

Conclusions:

  • This case underscores the rarity and complexity of managing a complicated anterior sacral myelomeningocele presenting as an ischiorectal abscess.
  • The paucity of literature complicates evidence-based management decisions for such rare conditions.
  • Conservative management of complicated ASM carries a significant mortality risk, primarily from bacterial meningitis.