Horseshoe perianal abscess

Case contributed by Michael P Hartung , 19 Jul 2018
Diagnosis certain
Changed by Daniel J Bell, 19 Jul 2018

Updates to Case Attributes

Age changed from 55 to 55 years.
Body was changed:

Horseshoe perianal abscess occurring 2 weeks after a hard fall onto the buttock region. Perianal abscesses most commonly occur due to infected anal glands at the dentate line (mucocutaneous junction). However, given the history of a fall, trauma may have resulted in a mucosal injury or anal gland obstruction, leading to the abscess formation. 

The abscess is outside of the external anal sphincter and localized in the ischiorectal fossa. Treatment is incision and drainage. 

  • -<p>Horseshoe perianal abscess occurring 2 weeks after a hard fall onto the buttock region. Perianal abscesses most commonly occur due to infected anal glands at the dentate line (mucocutaneous junction). However, given the history fall, trauma may have resulted in a mucosal injury or anal gland obstruction, leading to the abscess formation. </p><p>The abscess is outside of the external anal sphincter and localized in the ischiorectal fossa. Treatment is incision and drainage. </p>
  • +<p>Horseshoe perianal abscess occurring 2 weeks after a hard fall onto the buttock region. Perianal abscesses most commonly occur due to infected anal glands at the dentate line (mucocutaneous junction). However, given the history of a fall, trauma may have resulted in a mucosal injury or anal gland obstruction, leading to the abscess formation. </p><p>The abscess is outside of the external anal sphincter and localized in the ischiorectal fossa. Treatment is incision and drainage. </p>

References changed:

  • 1. Whiteford MH. Perianal abscess/fistula disease. (2007) Clinics in colon and rectal surgery. 20 (2): 102-9. <a href="https://doi.org/10.1055/s-2007-977488">doi:10.1055/s-2007-977488</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20011384">Pubmed</a> <span class="ref_v4"></span>
  • Whiteford MH. Perianal abscess/fistula disease. (2007) Clinics in colon and rectal surgery. 20 (2): 102-9. <a href="https://doi.org/10.1055/s-2007-977488">doi:10.1055/s-2007-977488</a> - <a href="https://www.ncbi.nlm.nih.gov/pubmed/20011384">Pubmed</a> <span class="ref_v4"></span>

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