Perianal Abscess

Question 1

What is a perianal abscess?

Answer 1

An infection resulting in a collection of pus near the anus, typically caused by bacterial invasion into the anal glands.

Perianal abscesses can occur due to various factors including obstruction of the anal glands.

Question 2

List common clinical features of a perianal abscess.

Answer 2

• Anal pain
• Fever
• Chills
• Malaise
• Fatigue
• Erythema
• Swelling
• Tenderness
• Anorectal discharge
• Dyschezia

Dyschezia refers specifically to difficulty in defecation.

Question 3

What are potential complications of a perianal abscess?

Answer 3

• Fistula
• Sepsis

A fistula can develop if the abscess does not heal properly, leading to an abnormal connection between the anal canal and the skin.

Question 4

What is the primary management for a perianal abscess?

Answer 4

Incision and drainage

This procedure is essential to relieve pressure and remove the pus.

Question 5

What role do antibiotics play in the management of a perianal abscess?

Answer 5

Antibiotics are used to treat the infection associated with the abscess.

They may not be necessary in all cases, especially if the abscess is adequately drained.