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Published on: September 5, 2011
[Perianal abscesses in twins]
Tanja Hübertz Horsager1, Bent Windelborg Nielsen
1Frydenlunds Alle 67, 2. th., 8210 Aarhus V. tanja@dadlnet.dk.
Insights
Perianal abscesses (PA) are common in infants, with potential congenital causes. This case report details two infant twins diagnosed with PA, highlighting the need for further research into etiology and management.
Area of Science:
- Pediatric Surgery
- Neonatal Care
- Gastroenterology
Background:
- Perianal abscesses (PA) are frequent in infants, with unknown etiology.
- Congenital factors are suspected due to infant predominance, male bias, specific locations, and anatomical findings.
Observation:
- Presents a case of 29-day-old monozygous twin boys with perianal abscesses.
- Highlights the occurrence of PA in extremely young infants.
Findings:
- The etiology of perianal abscesses in infants remains unclear.
- Traditional surgical drainage contrasts with emerging evidence for conservative management.
- The efficacy of antibiotic treatment for PA is not established.
Implications:
- This case contributes to understanding the potential congenital origins of PA in infants.
- Further research is needed to clarify the optimal management strategies for infant PA.
- Highlights the importance of considering congenital factors in the differential diagnosis of infant perianal conditions.
Abstract:
Perianal abscesses (PA) are relatively common in children, especially in infants. The aetiology of PA is still unknown but several factors point toward a congenital aetiology: 1) it is almost exclusively seen in infants, 2) with a male predominance, 3) predilection sites at 3 and 9 o'clock, 4) the finding of abnormal Morgagni crypts and 5) aberrant epithelial lining. Traditionally, incision and drainage has been the treatment of choice, but several studies suggest conservative management. The effect of antibiotics has not been proven. In this case report we present two 29-day-old monozygous twin boys with PA.
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