Difference between revisions of "Anal Sac Abscessation"

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==Introduction==
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Infection of the anal sac to form an abscess, may occur following [[Anal Sacculitis|Anal Sacculitis]] or [[Anal Sac Impaction|Anal Sac Impaction]]. Fistulous tracts may arise from the abscess and rupture to the skin.
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{{dog}}
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{{cat}}
  
 
==Signalment==
 
==Signalment==
Can occur in any age, breed or gender of dog however small breed overweight dogs are most commonly infected. Cats can also be affected.
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See [[Anal Sac Disease - General - WikiClinical|Anal Sac Disease - General]]
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==Description==
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Infection of the anal sac to form an abscess. Fistulous tracts may arise from the abscess and rupture to the skin.
  
 
==Diagnosis==
 
==Diagnosis==
Anal sac abscessation is diagnosed when there is noticeable swelling of the anal sac with a purulent exudate, inflammation of the surrounding perianal region, pain and fever. Rupture of the anal sac can occur with this condition producing a draining tract.
 
 
 
===History and Clinical Signs===
 
===History and Clinical Signs===
See [[Anal Sac Disease - General|Anal Sac Disease - General]]
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*See [[Anal Sac Disease - General - WikiClinical|Anal Sac Disease - General]]
 
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Microscopic examination of the fluid will show polymorphonuclear leukocytes and bacteria
===Microscopic Examination===
 
On microscopic examination of the fluid following anal sac expression, polymorphonuclear [[Leukocytes|leukocytes]] and bacteria will be seen.
 
  
 
==Treatment==
 
==Treatment==
Incision of the sacs and drainage plus lavage with an isotonic solution or 0.05% chlorhexidine. Hot compresses can be useful when applied twice daily for 15 minutes prior to surgery. The incisions should be left open and broad spectrum systemic antibiotics given until results of culture and sensitivity are back. Common organisms are ''[[Escherichia coli]]'', ''[[:Category:Streptococcus species|Streptococcus]] faecalis'' and ''[[Proteus]]'' species. If the condition becomes chronic, it is best managed by an anal sacculectomy.
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Incision of the sacs and drainage plus lavage with an isotonic solution or 0.05% chlorhexidine. The incisions should be left open and broad spectrum systemic antibiotics given until results of culture and sensitivity are back. Common organisms are ''[[Escherichia coli]]'', ''[[Streptococci|Streptococcus faecalis]]'' and ''[[Proteus]]'' species. If the condition becomes chronic, it is best managed by an anal sacculectomy.
  
 
==Prognosis==
 
==Prognosis==
Good
 
 
{{Learning
 
|Vetstream = [https://www.vetstream.com/canis/Content/Illustration/ill34083.asp Anal sac abscess rupture - picture]
 
|flashcards = [[Small Animal Dermatology Q&A 21]]
 
}}
 
  
 
==References==
 
==References==
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Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
 
Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) '''BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition)''' ''BSAVA''
  
Foster, A. Foil, C. (2003) '''BSAVA Manual of Small Animal Dermatology (2nd Edition)''' ''BSAVA''
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Nelson, R.W. and Couto, C. G. (2009) '''Small Animal Internal Medicine (4th Edition)''' ''Mosby Elsevier''
 
 
Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' Merial
 
 
 
 
 
{{review}}
 
 
 
{{OpenPages}}
 
  
[[Category:Recto-Anal_-_Pathology]][[Category:Expert_Review]]
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Merck & Co (2008) '''The Merck Veterinary Manual'''
[[Category:Rectal and Anal Diseases - Cat]][[Category:Rectal and Anal Diseases - Dog]]
 

Revision as of 13:18, 18 August 2009



Category:WikiClinical CanineCow
Category:WikiClinical FelineCow

Signalment

See Anal Sac Disease - General

Description

Infection of the anal sac to form an abscess. Fistulous tracts may arise from the abscess and rupture to the skin.

Diagnosis

History and Clinical Signs

Microscopic examination of the fluid will show polymorphonuclear leukocytes and bacteria

Treatment

Incision of the sacs and drainage plus lavage with an isotonic solution or 0.05% chlorhexidine. The incisions should be left open and broad spectrum systemic antibiotics given until results of culture and sensitivity are back. Common organisms are Escherichia coli, Streptococcus faecalis and Proteus species. If the condition becomes chronic, it is best managed by an anal sacculectomy.

Prognosis

References

Hall, E.J, Simpson, J.W. and Williams, D.A. (2005) BSAVA Manual of Canine and Feline Gastroenterology (2nd Edition) BSAVA

Nelson, R.W. and Couto, C. G. (2009) Small Animal Internal Medicine (4th Edition) Mosby Elsevier

Merck & Co (2008) The Merck Veterinary Manual