The Association between Anorectal Abscesses and Development of Fistula in-Ano

H. H. Al-Amiri, Majeed

	The Association between Anorectal Abscesses and Development of Fistula in-Ano
IRAQI JOURNALOF COMMUNITY MEDICINE
Article 1, Volume 26, Issue 2, 2013, Pages 184-187
Author
Majeed H. H. Al-Amiri
Abstract
Abstract: Background: - Anorectal abscesses are associated with a fistula in ano in a large percentage of patients. Fistula in –ano complicates 30-50 % of anorectal abscesses. Objective: - to establish the true frequency of fistula-in-ano in the patients with anorectal abscesses and to correlate these findings with relapse rate and microbiology. Patients and Methods: - This cross-section study was done in surgical department of Al-Yarmouk teaching hospital. From January 2006 to December 2011. The patients were examined in knee-elbow position or left lateral position for anorectal abscesses and fistula. The clinical finding was studied and all the risk factors were studied too. Results: - One-hundred and four patients with an anorectal abscesses; 76 male and 28 female patients with a mean age of 49.5 years (range 15-84 Years). There was perianal abscesses in 46 patients (44.23%), ischiorectal abscesses in 34 patients (35.69%), and submucosal in 24 Patients (23.07%). Fistula –in-ano developed in 29 patients (27.88%). Conclusion:-this cross-section study had shown that a relatively large percentage of anorectal abscess are associated with anal fistula. As the abscess resolves with proper drainage, we encourage the selective use of antimicrobial agents on a case-by-case basis. Key words: Anorectal abscess, fistula -in-ano.
Keywords
Anorectal abscess; fistula; ano

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