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Huda Hamouda 3rd year MBBS PBL Surgery

Traditional laboratory studies cannot be used to exclude the diagnosis of perirectal abscess.

CBC leukocytosis.
Blood cultures only in immunocompromised patients and in those who appear to be septic.

Plain Radiographs rarely helpful CAT the existence and anatomy of perirectal abscess Endoanorectal , transperineal, and transvaginal US the existence, extent, and location of an abscess (useful in the diagnosis of
submucosal and intersphincteric abscesses)

(CT can detect a deeper abscess and is therefore more useful) MRI deep abscesses , granulation tissue (fistulae?)

Anoscope 10cm Proctoscope


Inspect (13cm) Biopsy can be taken Rectoscope 25cm

Proctosigmoidoscope Rigid sigmoidoscope


Lighted tube 2 cm in diameter. 20 to 25 cm long. Look into the rectum and portion of the lower large intestine .

Flexible sigmoidoscope
A fiberoptic scope.60 cm Reach the proximal left colon or even the splenic flexure.. See around bends in the colon More total view, more comfortable