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Perianal abscesses due to ingested foreign bodies.

Doublali M, Chouaib A, Elfassi MJ, Farih MH, Benjelloun B, Agouri Y, Zahid FZ, Louchi A - J Emerg Trauma Shock (2010)

Bottom Line: The clinical presentation of perianal abscesses due to foreign bodies (FBs) impacted in the anal canal mimics common causes of acute anal pain.Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure.One case of perianal abscesses due to FB impacted in the anal canal is reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital Center, Fez, Morocco.

ABSTRACT
The clinical presentation of perianal abscesses due to foreign bodies (FBs) impacted in the anal canal mimics common causes of acute anal pain. The diagnosis can be established by digital rectal examination and/or proctoscopy, but may miss the presence of an FB. Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure. Impacted FB must not be overlooked as an unusual cause of perianal abscess. One case of perianal abscesses due to FB impacted in the anal canal is reported.

No MeSH data available.


Related in: MedlinePlus

Abdominal X-ray objectified the foreign bodies
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Figure 0002: Abdominal X-ray objectified the foreign bodies

Mentions: Digital rectal examination revealed a perianal abscess and identified the presence of an FB encrusted in the walls of the anal canal [Figure 2]. Abdominal and systemic examination was normal. Abdominal X-ray confirmed the presence of an FB and its morphology [Figure 3]. The abscess was drained under spinal anesthesia by a large incision; 50 ml of pus was removed. Intraoperatively, an FB (fragment of lamb bone) measuring 10 by 30 mm was seen inside the perianal abscess cavity and a small opening connecting to the anal canal could be identified. We treated the case as an anal fistula and fistuolotomy was performed. The wound was packed with iodophor gauze. The gauze was removed after 24 hours and the patient was instructed to take sit baths three times a day and after bowel movements. Postoperatively, the patient was discharged from the hospital in a stable condition 3 days later. Analgesics and stool softeners were prescribed to relieve pain and prevent constipation. The recovery was uneventful 18 months later. He had no recurrence, with total conservation of the anal continence. On further questioning, the patient recalled eating meat of the lamb 8 days prior to onset of pain. He denied being under the influence of alcohol at the time but had a habit of not chewing food thoroughly.


Perianal abscesses due to ingested foreign bodies.

Doublali M, Chouaib A, Elfassi MJ, Farih MH, Benjelloun B, Agouri Y, Zahid FZ, Louchi A - J Emerg Trauma Shock (2010)

Abdominal X-ray objectified the foreign bodies
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2966574&req=5

Figure 0002: Abdominal X-ray objectified the foreign bodies
Mentions: Digital rectal examination revealed a perianal abscess and identified the presence of an FB encrusted in the walls of the anal canal [Figure 2]. Abdominal and systemic examination was normal. Abdominal X-ray confirmed the presence of an FB and its morphology [Figure 3]. The abscess was drained under spinal anesthesia by a large incision; 50 ml of pus was removed. Intraoperatively, an FB (fragment of lamb bone) measuring 10 by 30 mm was seen inside the perianal abscess cavity and a small opening connecting to the anal canal could be identified. We treated the case as an anal fistula and fistuolotomy was performed. The wound was packed with iodophor gauze. The gauze was removed after 24 hours and the patient was instructed to take sit baths three times a day and after bowel movements. Postoperatively, the patient was discharged from the hospital in a stable condition 3 days later. Analgesics and stool softeners were prescribed to relieve pain and prevent constipation. The recovery was uneventful 18 months later. He had no recurrence, with total conservation of the anal continence. On further questioning, the patient recalled eating meat of the lamb 8 days prior to onset of pain. He denied being under the influence of alcohol at the time but had a habit of not chewing food thoroughly.

Bottom Line: The clinical presentation of perianal abscesses due to foreign bodies (FBs) impacted in the anal canal mimics common causes of acute anal pain.Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure.One case of perianal abscesses due to FB impacted in the anal canal is reported.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, University Hospital Center, Fez, Morocco.

ABSTRACT
The clinical presentation of perianal abscesses due to foreign bodies (FBs) impacted in the anal canal mimics common causes of acute anal pain. The diagnosis can be established by digital rectal examination and/or proctoscopy, but may miss the presence of an FB. Incision and drainage of the abscess, along with removal of the FB, results in immediate pain relief and cure. Impacted FB must not be overlooked as an unusual cause of perianal abscess. One case of perianal abscesses due to FB impacted in the anal canal is reported.

No MeSH data available.


Related in: MedlinePlus