Introduction
An anorectal abscess refers to a collection of pus in the anal or rectal region. They are more common in men than in women and have high rates of recurrence. One third of patients with an anorectal abscess have an
associated perianal fistula at the time of presentation.
Pathophysiology
Anorectal abscess are though to be caused by plugging of the anal ducts, which drain the anal glands in the anal wall (normally helping to ease the passage of faecal matter using mucus secretions). Blockage of an anal duct results in fluid stasis, which will lead to infection. Common causative organisms include E. coli, Bacteriodes spp., and Enterococcus spp..
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