Anorectal Abscess

Question 1

What is a anorectal abscess

Answer 1

collection of pus in the anal or rectal region

Question 2

Which gender are anorectal abscesses more common in

Answer 2

Males + have a higher recurrence rate

Question 3

What is the pathophysiology of anorectal abscesses

Answer 3

plugging of the anal ducts, the ducts that drain the anal glands in the anal wall, helping to ease the passage of faecal matter through mucus secretion.

Blockage of these ducts results in fluid stasis leading to infection.

Question 4

Which pathogen is the most likely causative organism in anorectal abscess

Answer 4

E. coli, Bacteriodes spp., and Enterococcus spp..

Question 5

What are the four areas where anorectal abscesses can occur

Answer 5

1. Perianal
2. Ischiorectal
3. Intersphincteric
4. Supralevator

Question 6

Where is the most common region to get anorectal abscess

Answer 6

Perianal area

Question 7

What are the clinical features of anorectal abscess

Answer 7

Pain in the perianal region (exacerbated when sitting down)

Localised swelling

Itching

Discharge

Erythematous, fluctutant

Tender

Question 8

what is the management of anorectal abscesses

Answer 8

Abx
Analgesia

Incision and drainage and left to heal with secondary intention

Question 9

What should be carried out after a drainage of an Abscess

Answer 9

Proctoscopy to check for anal fistulas as high association