Index to Chiropractic Literature
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ID 24919
  Title Perianal abscess mimicking levator ani syndrome: A case report and approach to the differential diagnosis of anorectal pain [case report] / [Abcès périanal qui imite le syndrome du muscle élévateur de l’anus : étude de cas et approche concernant le diagnostic différentiel de douleur ano-rectale]
Journal J Can Chiropr Assoc. 2017 Aug;61(2):Online access only p 145–152
Peer Review Yes
Publication Type Case Report

Objective: To present the clinical management and comprehensive differential diagnosis of a patient with anorectal pain from a perianal abscess.

Clinical Features: A 41-year-old woman presented with pain localized to her perianal and gluteal region, accompanied by internal and external rectal pain. Prior to presentation, the patient had received a working diagnosis of levator ani syndrome.

Intervention and Outcome: An interdisciplinary management approach was utilized. Diagnostic imaging confirmed the clinical suspicion of a perianal abscess and the patient underwent surgical drainage.

Summary: Anorectal pain is complex and multifactorial and a diagnosis such as an abscess should not be overlooked. This case emphasized that practitioners must be diligent in their evaluation and management of patients with anorectal pain, including recognizing situations that require further imaging and interdisciplinary management.

Author keywords: chiropractic, perianal abscess, levator ani syndrome, anorectal pain, differential diagnosis

Author affiliations: PM: Canadian Memorial Chiropractic College. Department of Graduate Education and Research Programs (Canada / Ontario / Toronto); AL: Canadian Memorial Chiropractic College. Clinics; PJB: Logan University. Radiology Department (United States / Missouri / Chesterfield)

This abstract is reproduced with the permission of the publisher. Click on the above link for free full text.

Objectif: Présenter le traitement clinique et le diagnostic différentiel complet d’une patiente atteinte de douleur ano-rectale découlant d’un abcès périanal.

Caractéristiques cliniques: Une femme de 41 ans se présente avec une douleur dans la région périanale et fessière, accompagnée de douleur rectale interne et externe. Avant la présentation, la patiente a reçu un diagnostic de travail de syndrome du muscle élévateur de l’anus.

Intervention et résultats: On a utilisé une approche de prise en charge interdisciplinaire. L’imagerie diagnostique a permis de confirmer le soupçon clinique d’abcès périanal et la patiente a subi un drainage chirurgical.

Résumé: La douleur ano-rectale est complexe et multifactorielle; il ne faut pas négliger un diagnostic tel qu’un abcès. Ce cas souligne que les praticiens doivent faire preuve de diligence lors de leur évaluation et prise en charge des patients qui souffrent de douleur anorectale, y compris reconnaître des situations nécessitant une imagerie et une prise en charge interdisciplinaire supplémentaires.

Mots-clés de l'auteur: chiropratique, abcès périanal, syndrome du muscle élévateur de l’anus, douleur ano-rectale, diagnostic différentiel

Ce résumé est reproduit avec l'autorisation de l'éditeur. Cliquez sur le lien ci-dessus pour obtenir l’article gratuitement.


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