Perirectal abscess.
OBJECTIVE
To review clinical features of perirectal abscesses and to determine appropriate management.


METHODS
Retrospective analysis of medical records.


METHODS
Urban teaching hospital.


METHODS
Ninety-two patients with the discharge diagnosis of perirectal abscess over a 4-year period.


RESULTS
Perirectal pain was the most common presenting symptom, being present in 98.9% of cases. External perianal and digital rectal examination identified an abscess in 94.6% of patients. A variety of aerobic and anaerobic bacteria from skin, bowel, and, rarely, vagina were identified as causative agents, with mixed infections common. The major complications of perirectal abscesses included formation of extensive abscesses and urine retention. Abscess resolution occurred in all patients after adequate drainage. Antibiotics appeared to be useful only as adjunct therapy.


CONCLUSIONS
Effective management of perirectal abscess involves early, adequate drainage, with antibiotics in an adjunct role.
Marcus
R H
RH
Department of Emergency Medicine, Northern Westchester Hospital Center, Mount Kisco, New York, USA.
Stine
R J
RJ
Cohen
M A
MA
D000038:Abscess / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D000293:Adolescent; D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D015984:Causality; D003131:Combined Modality Therapy; D003937:Diagnosis, Differential; D004322:Drainage; D005260:Female; D006801:Humans; D008297:Male; D008499:Medical Records; D008875:Middle Aged; D012002:Rectal Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D012189:Retrospective Studies
D000900:Anti-Bacterial Agents