Ischiorectal Abscess

Ischiorectal Abscess: causes, symptoms and treatment

Ischiorectal Abscess is a purulent inflammation that develops in the ischiorectal fossa - the space between the pelvic floor muscles and the pelvic bone. This disease can occur spontaneously, but most often it is a secondary disease that occurs as a result of existing anal fissures, thrombosed hemorrhoids, or some other disease associated with the anus.

With the development of an abscess of the ischiorectal fossa, symptoms may manifest themselves in the form of severe throbbing pain around the anus, which is accompanied by an increase in temperature and painful swelling in this place. As a result, an anal fistula may form.

Patients suffering from ischiorectal fossa abscess may also experience general weakness, headache and nausea. To diagnose the disease, it is necessary to conduct an examination by a proctologist, who can identify the presence of a purulent capsule in the area of ​​the fossa.

If the disease is confirmed, treatment must be immediate and must include the use of antibiotics to fight the infection, as well as a surgical incision to remove pus from the abscess. After removing the pus and incision, careful hygiene of the anal area is necessary to prevent recurrence of the disease.

In some cases, if the abscess has formed due to other diseases, such as hemorrhoids or anal fissures, then treatment should be aimed at treating the underlying disease to prevent the abscess from recurring.

In conclusion, ischiorectal fossa abscess is a serious condition that can lead to the formation of an anal fistula if not treated promptly. If you have symptoms of an ischiorectal fossa abscess, do not delay visiting a doctor and carry out all the necessary examinations and treatment to avoid complications.



An ischiorectal abscess, also known as a rectosciatic abscess, is an infectious disease that develops in the space between the pelvic floor muscles and the pelvic bone. Although this type of abscess can sometimes occur spontaneously, it is most often secondary, resulting from other conditions associated with the anus, such as anal fissures or thrombosed hemorrhoids.

The main symptom of ischiorectal abscess is severe throbbing pain around the anus. Patients may also experience fever and painful swelling in the area of ​​the abscess. Over time, an anal fistula may develop, which is an unusual connection between the abscess and the skin around the anus. Symptoms of an ischiorectal abscess are usually progressive and require medical intervention.

Diagnosis of an ischiorectal abscess may require a physical examination by a proctologist or colorectal surgeon. Visual inspection and digital examination of the anus are usually required to determine the presence of an abscess and assess its size and location. Additional examination methods, such as ultrasound or computed tomography, may be used to more fully evaluate the abscess and its relationship to surrounding tissue.

Treatment for an ischiorectal abscess usually involves surgery to remove the pus and restore normal drainage. Surgical access to the abscess can be obtained through an incision in the anus or perianal area. Once the pus is removed, a drainage tube may be needed to ensure continued drainage of fluid and prevent the abscess from forming again.

After surgery, patients may be prescribed antimicrobial medications to prevent infection and facilitate healing. It is important to follow your doctor's instructions and seek medical care regularly to monitor and evaluate the effectiveness of treatment.

In conclusion, ischiorectal abscess is a serious condition that requires prompt attention to medical professionals. Early diagnosis and adequate surgical treatment are key to preventing complications and ensuring a full recovery for the patient.



Ischiorectal Abscess An ischiorectal abscess (or ABATH) is a skin necrosis that develops in the subcutaneous tissue and muscle layer around the external anal sphincter. The term "ischiorectum" is used to refer to the space between the outer border of the coccygeal muscles of the anus