PERIANAL ABSCESSES

Dr. Hashim M. Dawood* and Dr. Ali. S. Abed

ABSTRACT

Background: Perianal abscess is frequently encountered in the Baquba teaching hospital in Emergency department. The aim is to assess the clinical pathology, microbiology, treatment outcome surgery of perianal abscess. Patients and methods this study was conducted in Baquba teaching hospital from December 2016 to November 2017. Sixty three patients with perianal abscesses. Detail history, proper physical examination and investigations are done then patient prepared for surgery. Results: This prospective study included sixty three patients with perianal abscess, the age range between 1 to 80 years(mean age 42.38 years), peak incidence in third and fourth decade of life.male patients predominance fifty seven (90.5%)and female patients six (9.5%). majority of patients (86.3%) have no co morbidity disease while (12.7%) associated with co morbidity diseases like diabetes mellitus, malignancy and on chemotherapy. Fifty(79.4%) patients presented with first time thirteen(20.6%) patients presented with recurrence.All patients treated surgically under general anesthesia. Bacteriological cultures revealed 88.9% only single micro-organism which is Escherichia coli. combined Escherichia coli and staphylococcus aureus represent 6.3% of cases. Staphylococcus aureus only 3.2% of cases, Escherichia coli, staphylococcus aureus, and Pseudomonus 1.6% of cases. Conclusion: Perianal abscess can occurred in any age peak incidence in 3rd and 4th decade of life and more common in male than female 10:1 commonest causative microorganism in this study Escherichia coli then staphylococcus aureus, so the source of infection is gut and all patient treated with surgery by cruciate incision and drainage under general anesthesia or spinal anesthesia.

Keywords: Perianal abscess.