Difference between revisions of "Anal Sac Abscessation"

Revision as of 11:12, 17 May 2010

Signalment

Description

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

Diagnosis

History and Clinical Signs

See Anal Sac Disease - General
Will also see a discharging sinus or a perianal mass
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

Foster, A. Foil, C. (2003) BSAVA Manual of Small Animal Dermatology (2nd Edition) BSAVA

Merck & Co (2008) The Merck Veterinary Manual

@@ Line 1: / Line 1: @@
-{{OpenPagesTop}}
+{{unfinished}}
-==Introduction==
-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.
+{{dog}}
+{{cat}}
 ==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.
+See [[Anal Sac Disease - General - WikiClinical|Anal Sac Disease - General]]
+==Description==
+Infection of the anal sac to form an abscess and it may follow from [[Anal Sac Impaction - WikiClinical|anal sac impaction]]. Fistulous tracts may arise from the abscess and rupture to the skin.
 ==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===
-See [[Anal Sac Disease - General|Anal Sac Disease - General]]
+*See [[Anal Sac Disease - General - WikiClinical|Anal Sac Disease - General]]
+*Will also see a discharging sinus or a perianal mass
-===Microscopic Examination===
+*Microscopic examination of the fluid will show polymorphonuclear leukocytes and bacteria
-On microscopic examination of the fluid following anal sac expression, polymorphonuclear [[Leukocytes|leukocytes]] and bacteria will be seen.
 ==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.
+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]]'', ''[[:Category:Streptococcus species|Streptococcus faecalis]]'' and ''[[Proteus]]'' species. If the condition becomes chronic, it is best managed by an anal sacculectomy.
 ==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==
@@ Line 32: / Line 27: @@
 Foster, A. Foil, C. (2003) '''BSAVA Manual of Small Animal Dermatology (2nd Edition)''' ''BSAVA''
-Merck & Co (2008) '''The Merck Veterinary Manual (Eighth Edition)''' Merial
+Merck & Co (2008) '''The Merck Veterinary Manual'''
-{{review}}
-{{OpenPages}}
-[[Category:Recto-Anal_-_Pathology]][[Category:Expert_Review]]
-[[Category:Rectal and Anal Diseases - Cat]][[Category:Rectal and Anal Diseases - Dog]]