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

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 ==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]]'', ''[[Streptococci|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==