Anorectal Abscess By Procotnova -

Anorectal Abscess

Most common causative organism is E. coli (60%). Others are Staphylococcus, Bacteroides, Streptococcus, B. proteus. Commonly occurs due to infection of anal gland in perianal region. 95% of anorectal abscesses are due to infection of anal glands in relation to crypts Cryptoglandular disease. Common in diabetics and immunosuppressed.

Anorectal Abscess

Classification

Perianal
Ischiorectal
Submucous
Pelvirectal
Fissure abscess (in relation to fissure-in-ano).

Perianal Abscess

Subcutaneous collection Ischiorectal Abscess.
Lies between skin and levator Ani Submucosal Abscess. lies above dentate line Pelvirectal abscess – above levator ani muscle and pelvic peritoneum

Treatment

Antibiotics.
Drainage under General.
Anaesthesia

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