title: Common anorectal disorders for the intensive care physician.
abstract: Although anorectal disorders such as abscess, fissure, and hemorrhoids are typically outpatient problems, they also occur in the critically ill patient population, where their presentation and management are more difficult. This article will provide a brief review of anorectal anatomy, explain the proper anorectal examination, and discuss the current understanding and treatment concepts with regard to the most common anorectal disorders that the intensive care unit clinician is likely to face.
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA Department of Molecular Pharmacology and Therapeutics, Loyola University Medical Center, Maywood, IL, USA.
authors.forename: Harold H
authors.initials: HH
authors.lastname: Bach
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA.
authors.forename: Norby
authors.initials: N
authors.lastname: Wang
authors.affiliation: Division of Colon and Rectal Surgery, Department of Surgery, Loyola University Medical Center, Maywood, IL, USA jeberhardt@lumc.edu.
authors.forename: Joshua M
authors.initials: JM
authors.lastname: Eberhardt
mesh_terms: D000038:Abscess / Q000175:diagnosis / Q000628:therapy; D001003:Anal Canal / Q000033:anatomy & histology / Q000473:pathology*; D003422:Critical Care / Q000379:methods*; D016638:Critical Illness; D005401:Fissure in Ano / Q000175:diagnosis / Q000628:therapy; D006484:Hemorrhoids / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D010808:Physical Examination; D017410:Practice Guidelines as Topic; D012002:Rectal Diseases / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy*; D012003:Rectal Fistula / Q000175:diagnosis / Q000628:therapy
keywords: anal fissure; fecal management system; hemorrhoids; perianal abscess; review of anorectal anatomy