Anorectal Fistula pg 2168

Question 1

What can be the result of an abscess rupture? it becomes an epithelialized trach that connects the abscess in the anus or rectum with the perirectal skin.

Answer 1

fistula or sometimes referred to as “fistula-in-ano”

Question 2

Sx of anorectal fistulas?

Answer 2

nonhealing abscess following drainage
chronic purulent discharge and pustule like lesion
intermittent rectal pain, usually while defecating
intermittent and malodorous drainage and pruritus

Question 3

DDX of anal fistula

Answer 3

perianal abscess
hemmorhoid
fissure
pilonidal cyst
cancer

Question 4

tx of anal fistual

Answer 4

require higher echelon of care due to proximity of involved area
unstable, medevac

all initial care is based on vital signs and patient stability