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Perianal Abscess

Infectious collection or abscess in the anorectal region.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Genel Cerrahi department. Book Appointment →

What is Perianal Abscess?

Perianal abscess is a purulent collection that forms when the cryptoglandular structures in the anorectal region become obstructed and infected. It most often occurs at the perianal, ischiorectal, intersphincteric, or supralevator locations.

It initially presents with pain, swelling, redness, and fever in the perianal area. Pain is exacerbated by sitting and defecation. In abscesses with deep localization, external findings may be absent and diagnosis may be delayed.

Treatment is urgent surgical drainage. Antibiotic therapy alone is insufficient and evacuation of the abscess is mandatory. Approximately half of patients later develop an anal fistula and require further treatment.

Symptoms

Severe pain in the perianal area
Swelling and redness
Fever and chills
Difficulty sitting
Increased pain with defecation
Purulent discharge
Malaise and fatigue

Risk Factors

Inflammatory bowel disease
Diabetes
Immunosuppression
HIV infection
Anal fissure
Male sex
Steroid use

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • Severe pain in the perianal area
  • Perianal swelling with fever
  • Inability to sit
  • Purulent discharge
  • Signs of systemic infection

Treatment Methods

01
Urgent surgical drainage
02
Broad-spectrum antibiotics
03
Wound care and sitz baths
04
Pain control
05
Follow-up for fistula development
06
Workup for inflammatory bowel disease
07
Long-term proctology follow-up

Which Department to Visit?

You can visit our Genel Cerrahi department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Genel Cerrahi Department

Let us help you

You can make an appointment with our specialists or contact us for your concerns.

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.