A retrospective analysis of 93 cases with anorectal abscess in a rural state hospital

Akkapulu, Nezih; Dere, Özcan; Zaim, Gökhan; Soy, Hatice Ebru Ayvazoğlu; Özmen, Tolga; Doğrul, Ahmet

doi:10.5152/ucd.2014.2453

Cited by 9 publications

(6 citation statements)

References 11 publications

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“…In the studied sample, most patients showed no sign of recurrence of the abscess and 66.1% did not develop an anal fistula. Those results are in agreement with the published literature that states abscess recurrence will occur in only 3% to 44% of the patients while a fistula will develop in 26% to 50% of the patients following I&D. An association between the site of the abscess and the risk of recurrence (P = 0.353) or developing a fistula (P = 0.38) was not evident in our sample which is consistent with previous studies [8,9]. In addition, no link was found between the duration from diagnosis of the abscess until its drainage on the risk of recurrence (P = 0.13) or recurrence of the abscess.…”

Section: Discussionsupporting

confidence: 93%

Incidence of anal fistula after pyogenic perianal abscess drainage in Kingdom of Bahrain

et al. 2023

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Perianal fistula is one of the most common anorectal diseases in adult patients, especially men. A relationship between pyogenic perianal abscess and fistula formation is established in multiple domains. This is the first exploration of such association among patients in the country as no related study has been published in Bahrain. We expect this study to be a foundation for future protocols and evidence-based practice. Methods: A retrospective study was conducted in Salmaniya Medical Complex of Bahrain. A total of 109 patients with a diagnosis of anal abscess were included between 2015 and 2018. Data were collected from the electronic files database used in Salmaniya Medical Complex (iSeha) as well as phone calls to the patients. Collected data were analyzed using statistical software. Results: The most predominant presentation of perianal abscess was pain. Over 50% of abscesses were classified as perianal (56.9%) and among those, left-sided abscesses were more common, followed by right-, posterior-, and anterior-sited, respectively. No recurrence of abscess was recorded among 80% of patients. A fistula developed following abscess drainage in 33.9% of patients. Most fistulas (37.8%) were diagnosed within 6 months or less from abscess drainage. Posterior fistulas were the most common, followed by anterior and left-sided fistulas. Conclusion: The incidence of anal fistula in Bahrain after perianal abscess was 33.9%. Most of the patients who developed a fistula following pyogenic abscess drainage were males and above the age of 40 years. The most common site for fistula was posterior.

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Section: Discussionsupporting

confidence: 93%

Incidence of anal fistula after pyogenic perianal abscess drainage in Kingdom of Bahrain

et al. 2023

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“…Despite limited research on risk factors for mortality, there is a multitude of research in terms of risk factors for recurrence of perirectal abscess. Akkapulu et al demonstrate no association between recurrence of abscess and sex, age, and hospital length of stay [ 44 ]. Additionally, diabetes and obesity were connected to a significant increase in patients developing anorectal abscesses, but they were not significant in readmission to the hospital for anorectal abscess [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Elderly Patients Managed Non-Operatively with Abscesses of the Anorectal Region Have Five Times Higher Rate of Mortality Compared to Non-Elderly

Ladinsky

Smiley

Latifi

2023

IJERPH

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This study’s purpose was to investigate risk factors for mortality from anorectal abscesses through a more comprehensive examination. This was a retrospective study that evaluated National Inpatient Sample patient data of adult and elderly patients emergently admitted with a primary diagnosis of anorectal abscess. Data was stratified by variables of interest and examined through statistical analysis, including backward logistic regression modelling. Roughly 40,000 adult patients and nearly 7000 elderly patients were admitted emergently with a primary diagnosis of abscess in anorectal regions. The mean age of adult male patients was 43 years while elderly male patients were, on average, 73 years old. Both adult males (69.0%) and elderly males (63.9%) were more frequently seen in the hospital for anorectal abscess compared to females. Mortality rates were lower in adult patients as only 0.2% (n = 62) of adult patients and 1.0% (n = 73) of elderly patients died in the hospital. Age increased the odds of mortality (OR = 1.03; 95% CI: 1.02–1.04, p < 0.001) as did hospital length of stay (OR = 1.02; 95% CI: 1.01–1.03, p < 0.001). Surgical procedure decreased the odds of mortality by more than 50% (OR = 0.49; 95% CI: 0.33–0.71, p < 0.001). Risk factors for mortality from anorectal abscess included age and non-operative management, which leads to prolonged hospital length of stay. Surgical management of anorectal abscesses offered protective benefits.

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“…The majority of supralevator abscess originate from the glandular crypts [1,4]. In this case, it seems the abscess developed from traumatic perforation by a fish bone, spreading for an inter-sphincteric fistulae.…”

Section: Discussionmentioning

confidence: 99%

“…The original infection is cryptoglandular in 90% of cases. Other aetiologies result from downward spread of pelvic infection, inflammatory bowel disease or traumatic incidents [1].…”

Section: Introductionmentioning

confidence: 99%

Supralevator abscess: New treatment for an uncommon aetiology: Case report

Aparício

Leichsenring

Sobrinho

et al. 2019

International Journal of Surgery Case Reports

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Highlights Proper drainage of supralevantor abscess should be achieved for the fistulae path. After supralevator abscess resolution the drain should be taken off and marsupialization with ENDO GIA® should be performed. It is possible to adapt the length of ENDO GIA® to the length of the fistulae tract. This treatment is a safe method for definitive treatment of traumatic supralevator abscess with intersphincteric fistulae.

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A retrospective analysis of 93 cases with anorectal abscess in a rural state hospital

Cited by 9 publications

References 11 publications

Incidence of anal fistula after pyogenic perianal abscess drainage in Kingdom of Bahrain

Incidence of anal fistula after pyogenic perianal abscess drainage in Kingdom of Bahrain

Elderly Patients Managed Non-Operatively with Abscesses of the Anorectal Region Have Five Times Higher Rate of Mortality Compared to Non-Elderly

Supralevator abscess: New treatment for an uncommon aetiology: Case report

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