Perirectal Abscess After Accidental Toothpick Ingestion

Bennetsen, Derek

doi:10.1016/j.jemermed.2007.06.008

Cited by 5 publications

(1 citation statement)

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“…Despite our extensive literature review we were unable to find a previous report documenting this finding in ischio-rectal abscess. There have been a few case reports which have documented unusual presentation of ischio-rectal abscess [10], [11], [12].…”

Section: Discussionmentioning

confidence: 99%

A case report of pneumo-retro-peritoneum: An unusual presentation of ischio-rectal abscess

Butt

Bhatti

Wadood

et al. 2017

Annals of Medicine &Amp; Surgery

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IntroductionAno-rectal abscesses are common. They however usually do not present with abdominal symptoms. CT although useful is not routinely carried out. Finding of Pneumo-retro-peritoneum with ischio-rectal abscess is rare.Case presentationWe present the case of a diabetic gentleman who presented with abdominal pain and distension and was found to have ischio-rectal abscess on perianal examination. Although initially suspected to have acute abdomen due to perforated viscus, CT scan revealed pneumo-retro-peritoneum which appeared to arise due to the abscess. Patient underwent incision and drainage of the abscess followed by serial debridement. He made a complete recovery.ConclusionAbdominal symptoms are rare in ischio-rectal abscess, but they must be kept in mind. Proper diagnosis may avoid a negative laparotomy.

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Section: Discussionmentioning

confidence: 99%