{"id":4419,"date":"2024-05-08T09:55:15","date_gmt":"2024-05-08T06:55:15","guid":{"rendered":"https:\/\/proctology.gr\/?p=4419"},"modified":"2025-10-13T10:32:03","modified_gmt":"2025-10-13T07:32:03","slug":"periedriko-apostima","status":"publish","type":"post","link":"https:\/\/proctology.gr\/en\/periedriko-apostima\/","title":{"rendered":"Perianal Abscess"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>IMPORTANT<\/strong>: Abscesses require immediate surgical drainage. Antibiotics alone simply mask the problem and are not a sufficient treatment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What is a Perianal Abscess?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">A perianal abscess is an acute inflammatory condition characterized by the accumulation of pus in a cavity around the anus. It is a serious condition that requires prompt medical attention.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Signs and Symptoms<\/h2>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Severe pain in the anal area<\/li>\n\n\n\n<li>Swelling and redness around the anus<\/li>\n\n\n\n<li>Fever and chills (especially in deeper abscesses)<\/li>\n\n\n\n<li>Pus discharge (if the abscess ruptures spontaneously)<\/li>\n<\/ul>\n\n\n\n<h2 class=\"gb-headline gb-headline-baabdf33 gb-headline-text\">Causes<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The most common cause is infection originating from an internal anal gland (fistula). Other causes include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Hidradenitis suppurativa<\/li>\n\n\n\n<li>Boils or furuncles<\/li>\n\n\n\n<li>Crohn\u2019s disease<\/li>\n\n\n\n<li>Minor injuries<\/li>\n\n\n\n<li>Chronic constipation<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Diagnosis<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Diagnosis includes both clinical examination and imaging studies. Accurate mapping of the abscess is essential for effective treatment with minimal surgical trauma.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Diagnostic Mapping Techniques<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Endoanal Ultrasound<br>Primary diagnostic tool<br>Provides real-time, high-resolution imaging<br>Reveals precise anatomy including sphincters<br>Painless and non-invasive<br>Determines the location and depth of the abscess<\/li>\n\n\n\n<li>MRI<br>Useful for complex or deep infections<br>Provides detailed soft tissue imaging<br>May sometimes yield unclear results<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Treatment<\/h2>\n\n\n\n<h3 class=\"wp-block-heading\">Immediate Surgical Drainage<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Urgent surgical drainage is the mainstay of treatment<\/li>\n\n\n\n<li>Delay can lead to:\n<ul class=\"wp-block-list\">\n<li>Spread of infection<\/li>\n\n\n\n<li>Involvement of sphincter muscles<\/li>\n\n\n\n<li>Risk of sepsis<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>When pre-operative mapping is done correctly, drainage can often be performed under local anesthesia<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\">Important Treatment Notes<\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Antibiotics alone are inadequate and inappropriate<\/li>\n\n\n\n<li>They may temporarily relieve symptoms but do not cure the abscess<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-gallery has-nested-images columns-default is-cropped wp-block-gallery-1 is-layout-flex wp-block-gallery-is-layout-flex\">\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2.webp\"><img loading=\"lazy\" decoding=\"async\" width=\"673\" height=\"673\" data-id=\"2828\" src=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2.webp\" alt=\"\" class=\"wp-image-2828\" srcset=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2.webp 673w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2-300x300.webp 300w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2-150x150.webp 150w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/apostima-yperixografima-2-50x50.webp 50w\" sizes=\"auto, (max-width: 673px) 100vw, 673px\" \/><\/a><\/figure>\n\n\n\n<figure class=\"wp-block-image size-large\"><a href=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-scaled.jpg\"><img loading=\"lazy\" decoding=\"async\" width=\"2560\" height=\"2560\" data-id=\"2808\" src=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-scaled.jpg\" alt=\"\" class=\"wp-image-2808\" srcset=\"https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-scaled.jpg 2560w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-300x300.jpg 300w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-1024x1024.jpg 1024w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-150x150.jpg 150w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-768x768.jpg 768w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-50x50.jpg 50w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-1600x1600.jpg 1600w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-1536x1536.jpg 1536w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-2048x2048.jpg 2048w, https:\/\/proctology.gr\/wp-content\/uploads\/2024\/05\/IMG_2791-2-1-1320x1320.jpg 1320w\" sizes=\"auto, (max-width: 2560px) 100vw, 2560px\" \/><\/a><\/figure>\n<\/figure>\n","protected":false},"excerpt":{"rendered":"<p>IMPORTANT: Abscesses require immediate surgical drainage. Antibiotics alone simply mask the problem and are not a sufficient treatment. What is &#8230; <a title=\"Perianal Abscess\" class=\"read-more\" href=\"https:\/\/proctology.gr\/en\/periedriko-apostima\/\" aria-label=\"Read more about Perianal Abscess\">More<\/a><\/p>\n","protected":false},"author":3,"featured_media":3768,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[63],"tags":[],"class_list":["post-4419","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fistula-abscess","generate-columns","tablet-grid-50","mobile-grid-100","grid-parent","grid-33"],"acf":[],"_links":{"self":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/4419","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/comments?post=4419"}],"version-history":[{"count":4,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/4419\/revisions"}],"predecessor-version":[{"id":4424,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/posts\/4419\/revisions\/4424"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/media\/3768"}],"wp:attachment":[{"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/media?parent=4419"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/categories?post=4419"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/proctology.gr\/en\/wp-json\/wp\/v2\/tags?post=4419"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}