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Perirectal abscess

R H Marcus1, R J Stine, M A Cohen

  • 1Department of Emergency Medicine, Northern Westchester Hospital Center, Mount Kisco, New York, USA.

Annals of Emergency Medicine
|May 1, 1995
PubMed
Summary
This summary is machine-generated.

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Effective management of perirectal abscesses involves prompt surgical drainage. Antibiotics play a secondary role in treating these common infections, which often present with significant pain.

Area of Science:

  • Proctology
  • Infectious Diseases
  • Surgical Management

Background:

  • Perirectal abscesses are common and can lead to significant morbidity.
  • Clinical features and optimal management strategies require clear definition.

Purpose of the Study:

  • To review the clinical presentation of perirectal abscesses.
  • To determine the most effective management approach for perirectal abscesses.

Main Methods:

  • Retrospective analysis of 92 patient medical records.
  • Study conducted at an urban teaching hospital over a 4-year period.

Main Results:

  • Perirectal pain (98.9%) was the most frequent symptom.
  • Abscesses were identified in 94.6% of patients via examination.

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  • Mixed aerobic and anaerobic bacterial infections were common; complications included extensive abscesses and urine retention.

    • Conclusions:

    • Early and adequate surgical drainage is the cornerstone of effective perirectal abscess management.
    • Antibiotics are considered adjunctive therapy, not primary treatment.