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Colorectal Diseases

Reoccurring perirectal abscess

08/27/2009

Question:

My husband a 44 year old diabetic (controlled well with oral medication QD) Has been having re-ocurring peri rectal abscess he has had 4 surgeries from March to July and has had antibiotic treatment 5 times now. 2 days after the last treatment of Cipro 500mg BID another abscess has appeared today the surgeon stated start Cipro 250mg BID and if not better in 2 days meet me in the ER for lancing again. I am really getting concernedabout this and this not ever really healing just keeps moving from location to location. One fistula was located 3 weeks ago and supposedly repaired and that is exactly where the spot is growing again.

Answer:

The most common cause of a recurrent perirectal abscess is a fistula, or an undiagnosed internal opening that continues to lead to infection of the abscess cavity. Perhaps another evaluation of the anal canal, under anesthesia, is in order; possibly a second opinion from a specialist in colon and rectal surgery would be in order as well.

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Response by:

University of Cincinnati Janice Frederick Rafferty, MD
Professor of Surgery
Chief of Colorectal Surgery Division
Division of Colorectal Surgery
Department of Surgery
College of Medicine
University of Cincinnati
Janice Frederick Rafferty, MD