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Anorectal abscess (also known as an anal/rectal abscess or perianal/perirectal abscess) is an abscess adjacent to the anus. [1] 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.
Digital rectal examination (DRE), also known as a prostate exam (Latin: palpatio per anum (PPA), lit. 'palpation through the anus'), is an internal examination of the rectum performed by a healthcare provider.
The final structure of the abscess is an abscess wall, or capsule, that is formed by the adjacent healthy cells in an attempt to keep the pus from infecting neighboring structures. However, such encapsulation tends to prevent immune cells from attacking bacteria in the pus, or from reaching the causative organism or foreign object.
Treatment is with antibiotics and drainage of the abscess; typically guided by ultrasound or CT, through the skin, via the rectum, or transvaginal routes. [3] Occasionally antibiotics may be used without surgery; if the abscess is at a very stage and small. [2] Until sensitivities are received, a broad spectrum antibiotic is generally required. [2]
This is an accepted version of this page This is the latest accepted revision, reviewed on 14 October 2024. Fluid produced by inflammatory infection For other uses, see Pus (disambiguation). Medical condition Pus Eye with conjunctivitis exuding pus Specialty Infectious disease Pus is an exudate, typically white-yellow, yellow, or yellow-brown, formed at the site of inflammation during ...
For incisional abscesses, it is recommended that incision and drainage is followed by covering the area with a thin layer of gauze followed by sterile dressing.The dressing should be changed and the wound irrigated with normal saline at least twice each day. [4]
Patches may have some subtle surface change, such as a fine scale or wrinkling, but although the consistency of the surface is changed, the lesion itself is not palpable. [29] Papule: A papule is a circumscribed, solid elevation of skin, varying in size from less than either 5 [10] or 10 mm in diameter at the widest point. [30]
Liver abscesses commonly present as right upper quadrant abdominal pain and fever, with worsening features associated with abscess rupture. [ 2 ] Magnetic resonance cholangiopancreatography (MRC) image showing a voluminous and heterogeneous collection in the left liver lobe (amoebic abscess)