PMID: 9189098Jun 1, 1997Paper

Perianal sepsis in children

The British Journal of Surgery
P Nix, M D Stringer

Abstract

Perianal sepsis is a relatively common surgical problem in children and yet the contribution of rare aetiological factors, the frequency of fistula formation complicating perianal abscess, the significance of bacteriological findings and the optimum treatment of fistula in ano are poorly understood. A consecutive series of 58 children (51 boys, seven girls) with a perianal abscess or fistula attending a tertiary referral centre over a 4-year period was reviewed. Thirty-eight children (34 boys, four girls), ranging in age from 1 month to 12 years, presented with an abscess. After treatment, three developed a further abscess but only four developed a fistula. Fistula formation only occurred in those with enteric bacterial infection. Of 24 children with a perianal fistula five required further surgery for recurrence, four of whom were initially treated by fistulotomy. In most patients, the fistula was simple, low and direct, and treatment by fistulectomy resulted in significantly fewer recurrences. Apart from Crohn's disease, identifiable aetiological factors were rare. Perianal sepsis is most common in otherwise healthy boys under 2 years of age. Abscess is best treated by incision and drainage, and fistulectomy is successful for...Continue Reading

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Citations

Jul 26, 2011·Pediatric Surgery International·Cağatay Evrim AfşarlarIsmet Faruk Ozgüner
Dec 24, 2004·Diseases of the Colon and Rectum·Francis SerourArkadi Gorenstein
Jul 15, 2000·Journal of Pediatric Gastroenterology and Nutrition·D PashankarD M Israel
Jan 29, 2010·Journal of Paediatrics and Child Health·Semire Serin EzerAkgün Hiçsönmez
Apr 26, 2002·Seminars in Pediatric Surgery·D M Griffiths
Feb 10, 2006·World Journal of Surgery·Francis Serour, Arkadi Gorenstein
Jan 11, 2007·Seminars in Pediatric Surgery·Thomas Stites, Dennis P Lund
Aug 31, 2019·Pediatrics International : Official Journal of the Japan Pediatric Society·Inbal SamukEnrique Freud
Jan 31, 2019·Oxford Medical Case Reports·Gregory M Taylor, Andrew H Erlich

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