Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus , Crohn's disease , chronic corticosteroid treatment and others. Ischiorectal, inter- and intrasphincteric abscesses have been described. Anorectal abscesses are classified according to their anatomic location and the following are the most common types; Perianal abscess, Ischiorectal abscess, Intersphincteric abscess and Supralevator abscess. Ischiorectal abscess is formed when suppuration transverses the external anal sphincter into the ischiorectal space. Intersphincteric abscess results from suppuration contained between the internal and external anal sphincters. Supralevator abscess forms from cephalad extension of the intersphincteric abscess above the levator ani or from caudal extension of a suppurative abdominal process like appendicitis, diverticular or gynaecologic sepsis. Pain in the perianal area is the most common symptom of an anorectal abscess.
Perianal Abscess/Fistula Disease
Anal Disorders - Harvard Health
An anal, or rectal, abscess occurs when a cavity in the anus becomes filled with pus. It causes extreme pain, fatigue , rectal discharge, and fever. In some cases, anal abscesses can result in painful anal fistulas. A blocked anal gland, a sexually transmitted infection STI , or an infected anal fissure can cause anal abscesses. Some other risk factors include:. Toddlers or children that have a history of anal fissures tears in the anal sphincter are also at a higher risk for developing anal abscesses later on. Such anal fissures might occur in children who have a history of constipation.
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Study record managers: refer to the Data Element Definitions if submitting registration or results information. This outcome will be defined clinically and with anal ultrasound. We will use the test named SF36 in its Validated version in Spanish. This test evaluates the health-related quality of life with answers of 36 questions and punctuates from 0 to , being the maximum score Better quality of life. Talk with your doctor and family members or friends about deciding to join a study.
An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal fistula also commonly called fistula-in-ano is frequently the result of a previous or current anal abscess. Normal anatomy includes small glands just inside the anus.