Presentation and management of perirectal sepsis.
Perirectal sepsis is a potentially severe complication which may follow minor anorectal intervention and be slow to be diagnosed and treated. We report the presentation and outcome of three patients with perirectal sepsis of differing aetiologies. Awareness of the possible diagnosis, urgent investigation with cross-sectional imaging and immediate treatment with broad-spectrum antibiotics is vital. However, radical surgical intervention may be necessary. This report highlights the importance of investigating patients with persistent pelvic pain after minor anorectal procedures or trauma and maintaining a high index of suspicion for this important complication.
Aldouri
Amer Q
AQ
Department of Surgery, York District Hospital, York, UK.
Alexander
David J
DJ
D000328:Adult; D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use*; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D008297:Male; D012002:Rectal Diseases / Q000188:drug therapy / Q000601:surgery*; D018805:Sepsis / Q000188:drug therapy / Q000601:surgery*; D014057:Tomography, X-Ray Computed
D000900:Anti-Bacterial Agents