Gastroenterology Book


Pelvirectal Abscess

Aka: Pelvirectal Abscess, Supralevator Abscess
  1. See Also
    1. Perirectal Abscess
  2. Pathophysiology
    1. Perirectal Abscess spread to above levator ani Muscle
  3. Causes
    1. Pelvic Inflammatory Disease
    2. Diverticulitis
    3. Ruptured Appendicitis
  4. Symptoms
    1. Rectal Pain
    2. Back Pain
  5. Signs
    1. Fever
  6. Differential Diagnosis
    1. High Ischiorectal Abscess
    2. Intersphincteric Abscess
  7. Imaging
    1. CT Pelvis
  8. Labs
    1. Complete Blood Count: Leukocytosis
  9. Diagnosis: Rectal mucosa fullness on diagnostic testing
    1. Flexible Sigmoidoscopy or Colonoscopy
    2. Barium Enema
  10. Management
    1. See Perirectal Abscess
    2. Colorectal surgery Consultation
      1. Surgical drainage via intraanal incision
  11. References
    1. Marx (2002) Rosen's Emergency Medicine, p. 1952
    2. Roberts (1998) Procedures, Saunders, p. 649-51

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)

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