An anal abscess is an infected cavity filled with pus found near the anus or rectum. Ninety percent of abscesses are the result of an acute infection in the internal glands of the anus. Occasionally, bacteria, fecal material or foreign matter can clog an anal gland and tunnel into the tissue around the anus or rectum, where it may then collect in a cavity called an abscess. An anal fistula also commonly called fistula-in-ano is frequently the result of a previous or current anal abscess.
Rectum - Perianal Fistulas
Perianal Fistula - Digestive System - Merck Veterinary Manual
The term "ACVS Diplomate" refers to a veterinarian who has been board certified in veterinary surgery. Only veterinarians who have successfully completed the certification requirements of the ACVS are Diplomates of the American College of Veterinary Surgeons and have earned the right to be called specialists in veterinary surgery. Your ACVS board-certified veterinary surgeon completed a three-year residency program, met specific training and caseload requirements, performed research and had research published. This process was supervised by ACVS Diplomates, ensuring consistency in training and adherence to high standards. After completing the residency program, the individual passed a rigorous examination.
Perianal fistula is characterized by chronic, purulent, malodorous, ulcerating, sinus tracts in the perianal tissues. It is most common in German Shepherds and is also seen in Setters and Retrievers. The cause is unknown, although many theories have been proposed. Contamination of the hair follicles and glands of the anal area by fecal material and anal sac secretions may result in necrosis, ulceration, and chronic inflammation of the perianal skin and tissues. Affected animals may be predisposed to generalized skin problems.
A multidisciplinary approach of gastroenterologist, colorectal surgeon and radiologist is necessary for its management. A correct diagnosis, based on endoscopy, magnetic resonance imaging, endoanal ultrasound and examination under anesthesia, is crucial for perianal fistula treatment. Available medical and surgical therapies are discussed in this review, including new local treatment modalities that are under investigation.