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What is an Ischiorectal abscess?

What is an Ischiorectal abscess?

Ischiorectal abscesses are the next most common type. These abscesses form when suppuration transverses the external anal sphincter into the ischiorectal space. An ischiorectal abscess may traverse the deep postanal space into the contralateral side, forming a so-called horseshoe abscess.

How do you drain an Ischiorectal abscess?

To drain an ischiorectal abscess, a cruciate incision is made at the site of maximal swelling. Pus is drained and cultured. The ischiorectal fossa is probed with a finger or hemostat to disrupt loculations and facilitate drainage.

What causes Intersphincteric abscess?

Small glands just inside the anus are part of normal anatomy. If the glands in the anus become clogged, this may result in an infection. When the infection is serious, this often leads to an abscess. Bacteria, feces, or foreign matter can also clog the anal glands and cause an abscess to form.

How serious is a perianal abscess?

If left untreated, anal abscesses can lead to severe complications, such as: an anal fistula, an atypical opening in the skin near the anus. sepsis, a life threatening condition due to your body’s response to an infection. Fournier’s gangrene, a rare but potentially life threatening infection.

Where is the Ischiorectal area?

The ischiorectal space (or ischioanal space) extends from the levator ani muscle to the perineum lateral to the anal canal. The intersphincteric space is located between the two sphincters, internal and external; it continues inferiorly into the perianal space and superiorly into the rectum wall.

What does Ischiorectal mean?

Medical Definition of ischiorectal : of, relating to, or adjacent to both ischium and rectum a pelvic ischiorectal abscess.

Why Ischiorectal abscess is very painful?

The infection occurs when bacteria gets trapped in the crypt glands that line the anal canal. The bacteria and fluid (pus) build up and becomes a lump that is red and painful (like a “pimple”).

What causes Ischiorectal abscess?

Common causes of anorectal abscess include: Blocked glands in the anal area. Infection of an anal fissure. Sexually transmitted infection (STD)

How do you drain an Intersphincteric abscess?

To drain an intersphincteric abscess, a transverse incision is made in the anal canal below the dentate line posteriorly. The intersphincteric space is identified, and the plane between the internal and external sphincters is exposed.

Is a perianal abscess an emergency?

By contrast, a perianal abscess is a shallower collection of pus under the skin surrounding the anus; however, both are sometimes described as an anal abscess. Both types of abscesses need immediate medical attention; however, a perirectal abscess usually is the more severe infection.

How long can an abscess go untreated?

Once an abscess has formed, noticeable pain and swelling around the affected tooth usually occur. If left untreated, it may take a few more weeks or months for the infection to spread to other tissues and cause complications. However, once this has happened, death can occur quickly.