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Anorectal abscess

MedGen UID:
540787
•Concept ID:
C0267567
•
Disease or Syndrome
SNOMED CT: Anorectal abscess (75236001)
 
HPO: HP:0033150

Definition

An abscess located at the junction of the anal canal and the rectum. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVAnorectal abscess

Professional guidelines

PubMed

Anal Cryptoglandular Suppuration: Evidence-Based Management.
Akinmoladun O, Hatch QM
Surg Clin North Am 2024 Jun;104(3):491-501. Epub 2023 Dec 11 doi: 10.1016/j.suc.2023.11.002. PMID: 38677815
The American Society of Colon and Rectal Surgeons Clinical Practice Guidelines for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula.
Gaertner WB, Burgess PL, Davids JS, Lightner AL, Shogan BD, Sun MY, Steele SR, Paquette IM, Feingold DL; Clinical Practice Guidelines Committee of the American Society of Colon and Rectal Surgeons
Dis Colon Rectum 2022 Aug 1;65(8):964-985. Epub 2022 Jul 5 doi: 10.1097/DCR.0000000000002473. PMID: 35732009
Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula.
Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, Steele SR
Dis Colon Rectum 2016 Dec;59(12):1117-1133. doi: 10.1097/DCR.0000000000000733. PMID: 27824697

Recent clinical studies

Etiology

Anal Cryptoglandular Suppuration: Evidence-Based Management.
Akinmoladun O, Hatch QM
Surg Clin North Am 2024 Jun;104(3):491-501. Epub 2023 Dec 11 doi: 10.1016/j.suc.2023.11.002. PMID: 38677815
Intra-abdominal and Anorectal Abscesses.
Thompson DT, Hrabe JE
Gastroenterol Clin North Am 2021 Jun;50(2):475-488. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.014. PMID: 34024453
Retrospective Clinical and Microbiologic Analysis of Patients with Anorectal Abscess.
Alabbad J, Abdul Raheem F, Alkhalifa F, Hassan Y, Al-Banoun A, Alfouzan W
Surg Infect (Larchmt) 2019 Jan;20(1):31-34. Epub 2018 Sep 20 doi: 10.1089/sur.2018.144. PMID: 30234438
Infectious Diseases Perspective of Anorectal Abscess and Fistula-in-ano Disease.
Wright WF
Am J Med Sci 2016 Apr;351(4):427-34. doi: 10.1016/j.amjms.2015.11.012. PMID: 27079352
Anorectal abscess.
Kovalcik PJ, Peniston RL, Cross GH
Surg Gynecol Obstet 1979 Dec;149(6):884-6. PMID: 505265

Diagnosis

Anorectal Emergencies.
Drezdzon MK, Peterson CY
Surg Clin North Am 2023 Dec;103(6):1153-1170. Epub 2023 Jul 21 doi: 10.1016/j.suc.2023.05.014. PMID: 37838461
Intra-abdominal and Anorectal Abscesses.
Thompson DT, Hrabe JE
Gastroenterol Clin North Am 2021 Jun;50(2):475-488. Epub 2021 Apr 23 doi: 10.1016/j.gtc.2021.02.014. PMID: 34024453
The occasional anorectal abscess.
Pinnell R, Crozier M, Giles SM
Can J Rural Med 2021 Jan-Mar;26(1):31-34. doi: 10.4103/CJRM.CJRM_16_20. PMID: 33380604
Clinical Practice Guideline for the Management of Anorectal Abscess, Fistula-in-Ano, and Rectovaginal Fistula.
Vogel JD, Johnson EK, Morris AM, Paquette IM, Saclarides TJ, Feingold DL, Steele SR
Dis Colon Rectum 2016 Dec;59(12):1117-1133. doi: 10.1097/DCR.0000000000000733. PMID: 27824697
Anorectal emergencies.
Lohsiriwat V
World J Gastroenterol 2016 Jul 14;22(26):5867-78. doi: 10.3748/wjg.v22.i26.5867. PMID: 27468181Free PMC Article

Therapy

Packing versus mushroom catheters following incision and drainage in anorectal abscess.
Zhu DA, Houlihan LM, Mohan HM, McCourt M, Andrews E
Ir J Med Sci 2019 Nov;188(4):1343-1348. Epub 2019 Jan 23 doi: 10.1007/s11845-018-01958-6. PMID: 30675692
Persistent Fistula After Anorectal Abscess Drainage: Local Experience of 11 Years.
Sahnan K, Askari A, Adegbola SO, Warusavitarne J, Lung PFC, Hart A, Faiz O, Phillips RKS, Tozer P
Dis Colon Rectum 2019 Mar;62(3):327-332. doi: 10.1097/DCR.0000000000001271. PMID: 30451763
Infectious Diseases Perspective of Anorectal Abscess and Fistula-in-ano Disease.
Wright WF
Am J Med Sci 2016 Apr;351(4):427-34. doi: 10.1016/j.amjms.2015.11.012. PMID: 27079352
Anorectal abscess and fistula-in-ano: evidence-based management.
Rizzo JA, Naig AL, Johnson EK
Surg Clin North Am 2010 Feb;90(1):45-68, Table of Contents. doi: 10.1016/j.suc.2009.10.001. PMID: 20109632
Anorectal abscess fistula: what do we know?
Nelson R
Surg Clin North Am 2002 Dec;82(6):1139-51, v-vi. doi: 10.1016/s0039-6109(02)00063-4. PMID: 12516844

Prognosis

Anorectal Abscess in a Patient with Neutropenia and Refractory Acute Myeloid Leukemia: To Operate or not to Operate?
Ohzu M, Takazawa H, Furukawa S, Komeno Y
Am J Case Rep 2021 Jul 4;22:e931589. doi: 10.12659/AJCR.931589. PMID: 34218249Free PMC Article
Retrospective Clinical and Microbiologic Analysis of Patients with Anorectal Abscess.
Alabbad J, Abdul Raheem F, Alkhalifa F, Hassan Y, Al-Banoun A, Alfouzan W
Surg Infect (Larchmt) 2019 Jan;20(1):31-34. Epub 2018 Sep 20 doi: 10.1089/sur.2018.144. PMID: 30234438
Natural history of anorectal sepsis.
Sahnan K, Askari A, Adegbola SO, Tozer PJ, Phillips RKS, Hart A, Faiz OD
Br J Surg 2017 Dec;104(13):1857-1865. Epub 2017 Aug 31 doi: 10.1002/bjs.10614. PMID: 28857130
Infectious Diseases Perspective of Anorectal Abscess and Fistula-in-ano Disease.
Wright WF
Am J Med Sci 2016 Apr;351(4):427-34. doi: 10.1016/j.amjms.2015.11.012. PMID: 27079352
Anorectal abscess during pregnancy.
Koyama S, Hirota M, Kobayashi M, Tanaka Y, Kubota S, Nakamura R, Isobe M, Shiki Y
J Obstet Gynaecol Res 2014 Feb;40(2):595-8. Epub 2013 Oct 10 doi: 10.1111/jog.12184. PMID: 24118245

Clinical prediction guides

Clinical characterization of patients with anal fistula during follow-up of anorectal abscess: a large population-based study.
Sanchez-Haro E, Vela E, Cleries M, Vela S, Tapiolas I, Troya J, Julian JF, Parés D
Tech Coloproctol 2023 Oct;27(10):897-907. Epub 2023 Aug 7 doi: 10.1007/s10151-023-02840-z. PMID: 37548781Free PMC Article
Anorectal Abscess in a Patient with Neutropenia and Refractory Acute Myeloid Leukemia: To Operate or not to Operate?
Ohzu M, Takazawa H, Furukawa S, Komeno Y
Am J Case Rep 2021 Jul 4;22:e931589. doi: 10.12659/AJCR.931589. PMID: 34218249Free PMC Article
Packing versus mushroom catheters following incision and drainage in anorectal abscess.
Zhu DA, Houlihan LM, Mohan HM, McCourt M, Andrews E
Ir J Med Sci 2019 Nov;188(4):1343-1348. Epub 2019 Jan 23 doi: 10.1007/s11845-018-01958-6. PMID: 30675692
Persistent Fistula After Anorectal Abscess Drainage: Local Experience of 11 Years.
Sahnan K, Askari A, Adegbola SO, Warusavitarne J, Lung PFC, Hart A, Faiz O, Phillips RKS, Tozer P
Dis Colon Rectum 2019 Mar;62(3):327-332. doi: 10.1097/DCR.0000000000001271. PMID: 30451763
Natural history of anorectal sepsis.
Sahnan K, Askari A, Adegbola SO, Tozer PJ, Phillips RKS, Hart A, Faiz OD
Br J Surg 2017 Dec;104(13):1857-1865. Epub 2017 Aug 31 doi: 10.1002/bjs.10614. PMID: 28857130

Recent systematic reviews

A Systematic Review of Epidemiology and Outcomes Associated with Local Surgical and Intersphincteric Ligation Procedures for Complex Cryptoglandular Fistulas.
Iglay K, Bennett D, Kappelman MD, Zhang X, Aldridge M, Karki C, Cook SF
Adv Ther 2023 May;40(5):1926-1956. Epub 2023 Mar 11 doi: 10.1007/s12325-023-02452-x. PMID: 36905499Free PMC Article

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