When viewing this topic in a different language, you may notice some differences in the way the content is structured, but it still reflects the latest evidence-based guidance.

Anorectal abscess

Просмотреть PDF
  • Обзор
  • Теория
  • Диагноз
  • Лечение
  • Последующее наблюдение
  • Источники
Последний просмотренный: 24 Apr 2026
Last updated: 21 Dec 2022

Резюме

Определение

Анамнез и осмотр

Ключевые диагностические факторы

  • anal fistula
  • history of Crohn disease
  • male sex
  • perianal pain
  • perianal or rectal induration
Полная информация

Другие диагностические факторы

  • perianal swelling
  • low-grade fever
  • tachycardia
  • change in bowel habits
  • rectal bleeding
  • inability to urinate
Полная информация

Факторы риска

  • anal fistula
  • Crohn disease
  • male sex
  • hard stools
  • age 21 to 40 years
Полная информация

Диагностические исследования

Исследования, которые показаны в первую очередь

  • clinical examination
  • examination under anesthetic
Полная информация

Исследования, проведение которых нужно рассмотреть

  • WBC count
  • serum glucose
  • serum electrolytes
  • anal ultrasonography
  • CT pelvis
  • MRI pelvis
  • microscopic examination and/or culture of the purulent fluid
Полная информация

Алгоритм лечения

Острый

all patients

Составители

Авторы

Jan Rakinic, MD, FACS, FASCRS

Professor of Surgery

Chief

Section of Colorectal Surgery

Southern Illinois University School of Medicine

Springfield

IL

Раскрытие информации

JR is an author of a reference cited in this topic.

Выражение благодарностей

Dr Jan Rakinic would like to gratefully acknowledge Dr C. Neal Ellis, a previous contributor to this topic.

Раскрытие информации

CNE declares that he has no competing interests.

Рецензенты

Mark H. Whiteford, MD

Assistant Professor of Surgery

Colon and Rectal Surgery

Gastrointestinal and Minimally Invasive Surgery Division

The Oregon Clinic

Portland

OR

Раскрытие информации

MHW declares that he has no competing interests.

Neil Hyman, MD

Chief

Division of General Surgery

Professor of Surgery

Fletcher Allen Healthcare

Burlington

VT

Раскрытие информации

NH declares that he has no competing interests.

Steven Brown, MBChB, FRCS, MD, BMedSci

Consultant Surgeon

Department of Colorectal Surgery

Sheffield Teaching Hospitals

Sheffield

UK

Раскрытие информации

SB declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

Список литературы

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Основные статьи

Gaertner WB, Burgess PL, Davids JS, et al. The American Society of Colon and Rectal Surgeons clinical practice guidelines for the management of anorectal abscess, fistula-in-ano, and rectovaginal fistula. Dis Colon Rectum. 2022 Aug 1;65(8):964-85.Полный текст  Аннотация

Nomikos IN. Anorectal abscesses: need for accurate anatomical localization of the disease. Clin Anat. 1997;10:239-44. Аннотация

Wright WF. Infectious diseases perspective of anorectal abscess and fistula-in-ano disease. Am J Med Sci. 2016 Apr;351(4):427-34. Аннотация

Malik AI, Nelson RL, Tou S. Incision and drainage of perianal abscess with or without treatment of anal fistula. Cochrane Database Syst Rev. 2010 Jul 7;(7):CD006827.Полный текст  Аннотация

Статьи, указанные как источники

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.

Использование этого контента попадает под действие нашего заявления об отказе от ответственности