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Related Experiment Video

Updated: May 5, 2026

Posterior Approach for Debridement of the Psoas Abscess
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Anal abscess and fistula.

Erica B Sneider1, Justin A Maykel

  • 1Department of Surgery, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA 01655, USA.

Gastroenterology Clinics of North America
|November 28, 2013
PubMed
Summary

This review covers the pathophysiology, presentation, diagnosis, and treatment of common benign anorectal conditions, specifically anal abscesses and fistulas, for primary care physicians and specialists.

Keywords:
Anal abscessAnal fistulaEndorectal advancement flapFistulizing Crohn diseaseFistulotomyLIFT procedure

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Area of Science:

  • Gastroenterology and Colorectal Surgery
  • Anorectal Disease Pathophysiology

Background:

  • Benign anorectal conditions like anal abscesses and fistulas are frequently encountered in clinical practice.
  • Accurate diagnosis and timely treatment are crucial for effective patient management.
  • A comprehensive understanding of these conditions is essential for healthcare providers.

Purpose of the Study:

  • To review the pathophysiology, presentation, diagnosis, and treatment options for anal abscesses.
  • To review the pathophysiology, presentation, diagnosis, and treatment options for anal fistulas.
  • To provide a consolidated resource for clinicians managing these common anorectal diseases.

Main Methods:

  • Literature review of pathophysiology, clinical presentation, diagnostic modalities, and treatment strategies for anal abscesses and fistulas.
  • Synthesis of current evidence and clinical guidelines.
  • Focus on information relevant to primary care physicians, gastroenterologists, emergency physicians, and surgeons.

Main Results:

  • Detailed explanation of the underlying mechanisms and development of anal abscesses and fistulas.
  • Description of characteristic signs and symptoms for accurate clinical diagnosis.
  • Outline of various diagnostic tools, including imaging and physical examination findings.
  • Summary of current treatment approaches, ranging from medical management to surgical interventions.

Conclusions:

  • Effective management of anal abscesses and fistulas requires a strong understanding of their complex nature.
  • Timely and appropriate treatment, guided by accurate diagnosis, leads to better patient outcomes.
  • This review serves as a valuable reference for healthcare professionals managing these prevalent anorectal conditions.