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In patients with crohns disease, abscesses, or collections of pus, often develop in the abdomen, pelvis, or around the anal area. Abscesses require antibiotics to treat the infection, but your doctor may also recommend surgical drainage of the pus cavity to ensure the area heals completely. Perianal disease may be the first sign of inflammatory bowel disease (ibd), which includes crohns disease and ulcerative colitis. 1,2 perianal disease is the term for complications that occur in the rectum or anus. Perianal complications are significantly more common in people with crohns disease than ulcerative colitis. Perianal crohns disease is a form of crohns disease which causes inflammation around the anus. It can occur on its own or at the same time as other forms of crohns disease which cause inflammation in other parts of the digestive system. Perianal crohns affects up to a third of people with crohns disease. This disease causes fistulas, extremely painful abscesses, infections, anal fissures, and cuts. A perianal abscess is a collection of pus on or in your rectum. Anorectal abscess (also known as an analrectal abscess, or perianalperirectal abscess) is an abscess adjacent to the anus. Most cases of perianal abscesses are sporadic, though there are certain situations which elevate the risk for developing the disease, such as diabetes mellitus, crohns disease, chronic corticosteroid treatment and others. Anal fissure is present in approximately 51 of patients with crohns disease. V an abscess or fistula can subsequently develop in 26 percent of individuals with a fissure. Anal fistulas are most common in people with crohns disease. Abscesses will typically need to be surgically drained of pus in order for them to heal. 1 abscesses can be drained using open surgery, in which an incision is made in the patients abdominal, pelvic, or anal area and the abscess is drained during the procedure, however, when possible, surgeons will usually try to use a minimally invasive procedure called percutaneous abscess drainage.   neither intestinal nor rectal activity of crohns disease significantly influenced the occurrence of an abscess. During the study period, only two patients developed partial stool incontinence. Conclusion development of perianal abscesses in crohns disease depends on the fecal stream and the anatomic type of anal fistula. An anal abscess is a painful condition in which a collection of pus develops near the anus. Most anal abscesses are a result of infection from small anal glands. The anal abscess may enlarge, causing pain, fever, and difficulty with bowel movements.

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