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Common organisms implicated in abscess formation Deeper infections produce less obvious abnormalities,
include Escherichia coli, Enterococcus species, and and these are only apparent on digital rectal
Bacteroides species examination.- a fluctuant indurated mass may be
encountered.
Less common causes of anorectal abscess that must be
considered in the differential diagnosis include Optimal physical assessment of an ischiorectal abscess
tuberculosis, cancer, Crohn disease, trauma, leukemia, may require anesthesia to alleviate patient discomfort
and lymphoma that would otherwise limit the extent of the examination.
4. Supralevator. Post-op
A supralevator abscess results either from suppuration -Sitz baths
extending cranially through the longitudinal muscle of the -Analgesia
rectum from an origin in the intersphincteric space to reach -Antibiotics
above the levators or as a result of primary disease in the -Stool softeners.
pelvis (eg, appendicitis, diverticular disease, gynecological
sepsis).
5.Horseshoe abscesses
Rare, result from circumferential infiltration of pus within
the intersphincteric planes.
Clinical