Work

Complex perianal abscess: a case report of shooting from the hip

Year: 2024

Type: article

Abstract: The perianal abscess is a common emergency surgical presentation. While in most cases simple drainage suffices, occasionally the abscess can track deeply presenting a management challenge. We describe the case of a complex circumferential horseshoe ischioanal abscess with extension below the levator ani through the greater sciatic notch and into the left gluteal region, with the collection involving the intergluteal space and gluteus maximus. The complex nature of the abscess warranted a novel joint approach by Colorectal surgery and Orthopaedic surgery teams. This case highlights the importance of maintaining a high degree of suspicion for, early recognition and imaging of deeper anorectal abscess extension.

Source: Journal of Surgical Case Reports

DOI: 10.1093/jscr/rjae801

Authors: Peter Tilleard, Kate Swift, Daniel Tani, Ju Yong Cheong

Institution: Cairns Hospital

Language: English

Topic: Anorectal Disease Treatments and Outcomes

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,050