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Pelvirectal AbscessAka: Supralevator Abscess

See Also
1. Perirectal Abscess
Pathophysiology
1. Perirectal Abscess spread to above levator ani muscle
Causes
1. Pelvic Inflammatory Disease
2. Diverticulitis
3. Ruptured Appendicitis
Symptoms
1. Rectal Pain
2. Back Pain
Signs
1. Fever
Differential Diagnosis
1. High Ischiorectal Abscess
2. Intersphincteric Abscess
Labs
1. Complete Blood Count: Leukocytosis
Diagnosis: Rectal mucosa fullness on diagnostic testing
1. Flexible Sigmoidoscopy or Colonoscopy
2. Barium Enema
Management
1. See Perirectal Abscess
2. Surgical drainage via intraanal incision
References
1. Marx (2002) Rosen's Emergency Medicine, p. 1952
2. Roberts (1998) Procedures, Saunders, p. 649-51

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This page was written by Scott Moses, MD. This page was last revised before 5/10/08, prior to consistent tracking of revision date. This page was last published on 5/10/2008. Please send comments and questions to the editor. Contact information may be found on the page About the Family Practice Notebook. These pages are best viewed with Microsoft Internet Explorer 6.0.