Pelvirectal Abscess

Aka: Pelvirectal Abscess, Supralevator Abscess

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II. Pathophysiology

  1. Perirectal Abscess spread to above levator ani muscle

III. Causes

  1. Pelvic Inflammatory Disease
  2. Diverticulitis
  3. Ruptured Appendicitis

IV. Symptoms

  1. Rectal Pain
  2. Back Pain

V. Signs

  1. Fever

VI. Differential Diagnosis

  1. High Ischiorectal Abscess
  2. Intersphincteric Abscess

VII. Imaging

  1. CT Pelvis

VIII. Labs

  1. Complete Blood Count: Leukocytosis

IX. Diagnosis: Rectal mucosa fullness on diagnostic testing

  1. Flexible Sigmoidoscopy or Colonoscopy
  2. Barium Enema

X. Management

  1. See Perirectal Abscess
  2. Colorectal surgery Consultation
    1. Surgical drainage via intraanal incision

XI. References

  1. Marx (2002) Rosen's Emergency Medicine, p. 1952
  2. Roberts (1998) Procedures, Saunders, p. 649-51

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Ontology: Supralevator abscess (C0341385)

Concepts Disease or Syndrome (T047)
SnomedCT 197163002
English perirectal abscess supralevator, Supralevator abscess (diagnosis), Pelvirectal abscess, Supralevator abscess, Supralevator abscess (disorder)
Spanish absceso pelvirrectal (trastorno), absceso pelvirrectal, absceso supraelevador
Derived from the NIH UMLS (Unified Medical Language System)

Related Topics in Anorectal Disorders

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