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Case Reports
. 2023 Dec 19;15(12):e50759.
doi: 10.7759/cureus.50759. eCollection 2023 Dec.

Management of Rectal Wall Abscess: A Rare Case Report

Muhammad Talal Nasir  1 , Kehkashan Anwar  1 , Hareem Hussain  2 , Mamoon Solkar  2 , Sana Ullah  3
Affiliations
Case Reports

Management of Rectal Wall Abscess: A Rare Case Report

Muhammad Talal Nasir et al. Cureus. .

Abstract

A 34-year-old male presented with spontaneous rectal pain. He was diagnosed with a posterior rectal wall abscess 7 cm proximal to the anal verge that was confirmed on an MRI (magnetic resonance imaging) pelvis. This abscess was drained through a transrectal route. Rectal wall abscess is an exceedingly rare pathology compared to perianal abscess; therefore, this case highlights the key aspects of its management.

Keywords: endoscopic drainage; perianal disease; perianal pain; post fistulectomy; rectal wall abscess.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Rectal wall abscess 25 mm in diameter on T2-weighted images on MRI (sagittal view).
Figure 2
Figure 2. Flexible sigmoidoscopy view of the rectum and abscess with smooth and intact mucosa.
Figure 3
Figure 3. A small sinus at 1-2 o'clock position with a plastic cannula. No communication of this sinus with rectal abscess was identified.
Figure 4
Figure 4. Postoperative (six weeks) MRI. No evidence of residual abscess or fistulae in the perianal and rectal areas.
See this image and copyright information in PMC

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