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Management

Authoring team

Diligent sigmoidoscopy is necessary to find the perianal abscess outlet. Pus should be sent for culture of both routine gut and skin organisms, and additionally, acid fast bacilli. Specimens of the abscess should be sent for histopathological examination.

If the abscess is caught early then treatment with oral antibiotics may abort the infection. If the abscess has become established then it requires drainage and curettage. This is performed under general anaesthesia. The patient may stay in hospital for 3-7 days and be off work for 1-4 weeks.


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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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