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Anorectal abscess

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  • Descripción general
  • Teoría
  • Diagnóstico
  • Manejo
  • Seguimiento
  • Recursos
Última revisión: 10 Dec 2025
Última actualización: 21 Dec 2022

Resumen

Definición

Anamnesis y examen

Principales factores de diagnóstico

  • anal fistula
  • history of Crohn disease
  • male sex
  • perianal pain
  • perianal or rectal induration
Todos los datos

Otros factores de diagnóstico

  • perianal swelling
  • low-grade fever
  • tachycardia
  • change in bowel habits
  • rectal bleeding
  • inability to urinate
Todos los datos

Factores de riesgo

  • anal fistula
  • Crohn disease
  • male sex
  • hard stools
  • age 21 to 40 years
Todos los datos

Pruebas diagnósticas

Primeras pruebas diagnósticas para solicitar

  • clinical examination
  • examination under anesthetic
Todos los datos

Pruebas diagnósticas que deben considerarse

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

Algoritmo de tratamiento

Agudo

all patients

Colaboradores

Autores

Jan Rakinic, MD, FACS, FASCRS

Professor of Surgery

Chief

Section of Colorectal Surgery

Southern Illinois University School of Medicine

Springfield

IL

Divulgaciones

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

Agradecimientos

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

Divulgaciones

CNE declares that he has no competing interests.

Revisores por pares

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

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