Treatment of perianal abscesses in children differs from the adult population. Few guidelines advise on adopting a non-operative approach for the treatment of perianal abscesses in children. Controversies surround this approach and various studies have explored both operative and non-operative methods. Perianal abscesses (PA) are collection of pus under skin in the perianal region. Fistula-in-ano usually presents as a progression of untreated abscesses. Globally, perianal abscesses are relatively common in infants and young children with an estimated prevalence of 4%.
Indian studies have shown a higher incidence among male infants, reflecting the global scenario. Exact numbers are not available. Pathophysiology The focus of the infection is demonstrated to be in the crypts of Morgagni. Cryptitis and crypt abscesses proceed to involve the soft tissue of the perianal region. When the…
