Description The rectum is the l...
Description
The rectum is the last part of the large intestine attaching to the anus. An abscess is a collection of pus. A rectal abscess also called "perirectal" abscess can form around the edge of the anal opening or deeper into the rectum. This condition is more often found in men and in people with digestive diseases.
Symptoms
Pain in the rectal area, discharge of pus from the rectum, lump or nodule, swelling, redness, fever, pain associated with bowel movements, constipation. Sometimes the abscess drains through an opening in the skin. This can cause moisture or soiling of underwear.
Tests
Common tests used for diagnosis and treatment
Workup:
A history and physical exam will be performed including a rectal examination (the doctor needs to feel inside the rectum to find the tender area). At times a CT scan and/or a more detailed examination of the rectum called "proctosigmoidoscopy" is done to determine the size and extent of the abscess.
Tests:
Complete blood count (CBC), CT Scan
Other Specific Tests: Proctosigmoidoscopy
Specialists:
General Surgery, Pediatric Surgery, Colon and Rectal Surgery
Workup:
A history and physical exam will be performed including a rectal examination (the doctor needs to feel inside the rectum to find the tender area). At times a CT scan and/or a more detailed examination of the rectum called "proctosigmoidoscopy" is done to determine the size and extent of the abscess.
Tests:
Complete blood count (CBC), CT Scan
Other Specific Tests: Proctosigmoidoscopy
Specialists:
General Surgery, Pediatric Surgery, Colon and Rectal Surgery
Treatment
Incision (opening the wound with a scalpel) and allowing drainage is the treatment of choice. Large abscesses may require surgery. Antibiotics may be administered for extending redness around the abscess.