Perianal Abscess Quiz

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Medically Reviewed By:

Carlos Cuenca

Carlos Cuenca, MD

General surgery

Aiko Yoshioka

Aiko Yoshioka, MD

Gastroenterology

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Learn more about Perianal abscess

Content updated on Sep 20, 2022

What is perianal abscess?

A collection of pus near the anus. It happens more commonly in patients with diabetes, obesity, or certain conditions that cause gut ulcers.

Symptoms of perianal abscess

  • Bumps containing pus

  • Hemorrhoids (piles) or a lump at the anus

  • Swelling of the affected area

  • Fever

  • Pus from around the anus or anus itself

  • Blood in stool

Questions your doctor may ask to check for perianal abscess

Your doctor may ask these questions to diagnose perianal abscess

  • Do you have bumps on your skin with pus?

  • Do you have hemorrhoids (piles) or a lump at the anus?

  • Is the affected area swollen?

  • Do you have a fever?

  • Do you have pus from around the anus or anus itself?

Treatment for perianal abscess

A perianal abscess should be drained to help resolve the infection and prevent formation of fistulas. Unless there is surrounding cellulitis, infection of the surrounding skin, or if the patient has other risk factors, antibiotics are not always necessary with adequate drainage.

View the symptoms of Perianal abscess

References

  • Sahnan K, Adegbola SO, Tozer PJ, Watfah J, Phillips RK. Perianal abscess. BMJ. 2017 Feb 21;356:j475. doi: 10.1136/bmj.j475. PMID: 28223268.

    https://www.bmj.com/content/356/bmj.j475

  • Amato A, Bottini C, De Nardi P, Giamundo P, Lauretta A, Realis Luc A, Piloni V. Evaluation and management of perianal abscess and anal fistula: SICCR position statement. Tech Coloproctol. 2020 Feb;24(2):127-143. doi: 10.1007/s10151-019-02144-1. Epub 2020 Jan 23. PMID: 31974827.

    https://link.springer.com/article/10.1007/s10151-019-02144-1

  • Ding W, Sun YR, Wu ZJ. Treatment of Perianal Abscess and Fistula in Infants and Young Children: From Basic Etiology to Clinical Features. Am Surg. 2021 Jun;87(6):927-932. doi: 10.1177/0003134820954829. Epub 2020 Dec 7. PMID: 33284051.

    https://journals.sagepub.com/doi/10.1177/0003134820954829

  • Tan Tanny SP, Wijekoon N, Nataraja RM, Lynch A, Pacilli M. Surgical management of perianal abscess in neonates and infants. ANZ J Surg. 2020 Jun;90(6):1034-1036. doi: 10.1111/ans.15801. Epub 2020 Mar 4. PMID: 32129562.

    https://onlinelibrary.wiley.com/doi/10.1111/ans.15801

Medically Reviewed By:

Carlos Cuenca

Carlos Cuenca, MD

General surgery

Aiko Yoshioka

Aiko Yoshioka, MD

Gastroenterology

From our team of 50+ doctors

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Developed by doctors.

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