Effective Endoscopic Ultrasound-Guided Transrectal Drainage of a Perianal Abscess

Abstract

Arq Gastroenterol • 2022. v. 59 nº 2 abr/jun • 317Approximately 90% of all idiopathic perianal abscesses occur due to infection of the cryptoglobular glands (1,2) . The purpose of drainage is to decompress the abscess cavity in order to prevent progressive inflammation, which could result in potentially lifethreatening complications (3) .A 31-year-old Japanese man was admitted to our hospital with severe anal pain and high fever. Computed tomography identified a perianal abscess and fluid collections near the right buttock (FIGURE 1). A surgical incision was made from the right buttock; however, drainage was poor because the fistula cavity was deep and

The use of ultrasound in colonic and perianal diseases

“…Ultrasonography might also play a role in the treatment of perianal abscesses: although surgery and percutaneous drainage are the usual approaches, cases of EUS-guided transrectal drainage have also been reported with good results [ 21 , 22 ].…”