Perianal abscess

Sahnan, Kapil; Adegbola, S; Tozer, P; Watfah, J; Phillips, R. K. S.

doi:10.1136/bmj.j475

Cited by 76 publications

(66 citation statements)

References 16 publications

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“…The true incidence of both abscess and fistula is poorly defined in the literature 15 . The incidence in the present study is an accurate reflection for new abscesses in England, but does not include recurrent abscesses or those in patients presenting to the private sector.…”

Section: Discussionmentioning

confidence: 99%

Natural history of anorectal sepsis

Sahnan

Askari

Adegbola

et al. 2017

British Journal of Surgery

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Section: Discussionmentioning

confidence: 99%

Natural history of anorectal sepsis

Sahnan

Askari

Adegbola

et al. 2017

British Journal of Surgery

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“…Multidisciplinary management of PCD is strongly advised as gold-standard care [ 36 ]. Active luminal disease should be treated with the aim of inducing and maintaining remission [ 37 ].…”

Section: Fistulizing Manifestations – Perianal Fistula and Abscessmentioning

confidence: 99%

“…EUA and drainage is the first-line treatment for acute abscess so as to control local sepsis prior to initiating medical treatment [ 36 ]. Loose setons maintain patency of fistula tracts, limiting recurrent abscess formation [ 77 , 78 ].…”

Section: Fistulizing Manifestations – Perianal Fistula and Abscessmentioning

confidence: 99%

Medical and surgical management of perianal Crohn’s disease

Adegbola

Pisani

Sahnan

et al. 2018

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Crohn’s disease is increasingly thought to encompass multiple possible phenotypes. Perianal manifestations account for one such phenotype and represent an independent disease modifier. In its more severe form, perianal Crohn’s disease confers a higher risk of a severe and disabling disease course, relapses, hospital admissions and operations. This, in turn, imposes a considerable burden and disability on patients. Identification of the precise manifestation is important, as management is nuanced, with both medical and surgical components, and is best undertaken in a multidisciplinary setting for both diagnosis and ongoing treatment. The introduction of biologic medication has heralded a significant addition to the management of fistulizing perianal Crohn’s disease in particular, albeit with modest results. It remains a very challenging condition to treat and further work is required to optimize management in this group of patients.

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“…Supralevator abscesses usually are diagnosed with computed tomography (CT) and are rare. The term perianal abscess generally is used to describe different types of anorectal abscesses because initial management is the same in most cases (8).…”

Section: Overview Of Perineal Anatomymentioning

confidence: 99%

Imaging of Acute Conditions of the Perineum

et al. 2018

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A wide range of acute conditions can affect the perineum, from self-limited disease to conditions that are potentially life threatening or contribute to substantial patient morbidity if not promptly diagnosed and appropriately treated. Imaging is essential in the clinical management of perineal disease because it allows accurate anatomic localization of the origin and extent of the disease to be determined. Familiarity with complex perineal anatomy, appropriate use of imaging modalities, and the spectrum of imaging findings seen in acute perineal conditions is crucial for radiologists to make a rapid and accurate diagnosis. Various imaging modalities are available to evaluate acute perineal conditions, each with their own advantages and disadvantages. Computed tomography is used most commonly in the acute care setting because of its widespread availability and rapid image acquisition. Ultrasonography could be used to evaluate superficial and palpable abnormalities and is especially helpful for diagnosis of genital injuries. Magnetic resonance (MR) imaging exhibits superior tissue contrast resolution, provides excellent characterization of conditions, and lacks ionizing radiation. Its role is increasing in the acute care setting; however, MR imaging is not always readily available and is currently reserved for use as a problem-solving technique. Retrograde urethrography is the modality of choice for evaluating traumatic urethral injury. RSNA, 2018.

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Perianal abscess

Cited by 76 publications

References 16 publications

Natural history of anorectal sepsis

Natural history of anorectal sepsis

Medical and surgical management of perianal Crohn’s disease

Imaging of Acute Conditions of the Perineum

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