TY - CHAP M1 - Book, Section TI - Perirectal Abscess, Fistula-in-Ano, and Anal Fissure A1 - Ellison, E. Christopher A1 - Zollinger, Jr., Robert M. A1 - Pawlik, Timothy M. A1 - Vaccaro, Patrick S. A1 - Bitans, Marita A1 - Baker, Anthony S. PY - 2022 T2 - Zollinger’s Atlas of Surgical Operations, 11e AB - The anatomy of the anal region is shown in FIGURE 1. Abscesses around the anal canal arise from infection of the anal crypt of Morgagni (FIGURE 2) and can be either superficial perianal abscesses (80%) or deeper ischiorectal abscesses (20%) (FIGURE 3). A perianal abscess is found adjacent to the anal canal, either on the right or left side, anterior or posterior. The patient usually complains of pain that may be, but not always, associated with a fever. The diagnosis is made by inspection of the perianal area, which will reveal a red, “angry,” and often fluctuant abscess. A digital examination should not be done because of the painful nature of the problem. FIGURE 3 shows the location of perianal and perirectal abscesses. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/04/19 UR - accesssurgery.mhmedical.com/content.aspx?aid=1187822081 ER -