Perianal diseases Latest Topicshttps://pediatricsurgeryclub.com/forum/175-perianal-diseases/Perianal diseases Latest Topicsen17/10/2026https://pediatricsurgeryclub.com/topic/3519-17102026/[size=6]A 6-month-old child presents with a perianal abscess at the 3 o’clock position that has recurred six times. What is the next best step in management?

 

a Needle Aspiration

 

b Warm soaks and local care

 

c Fistulotomy

 

d Incision and drainage (I&D)[/size]

]]>3519Sat, 17 Oct 2026 15:41:49 +0000Management of perianal abscess in pediatricshttps://pediatricsurgeryclub.com/topic/3360-management-of-perianal-abscess-in-pediatrics/IMG_7761.jpg.07f0828ca411aab4d64d29df581404aa.jpg]]>3360Sun, 09 Mar 2025 11:12:59 +000029/9/2024https://pediatricsurgeryclub.com/topic/3247-2992024/[size=20px]A 7-year-old boy undergoes incision and drainage of a perianal abscess. He is discharged home and completes a course of oral amoxicillin/clavulanate (Augmentin). The boy returns to your clinic 4 weeks later with a persistently draining perianal fistula at the 5 o’clock lithotomy position. He has no further pain or fevers. The most appropriate next step is:

 

A Observation alone as the fistula will likely close spontaneously

 

B Fistulotomy as the fistula will not likely close spontaneously

 

C Referral to Pediatric Gastroenterology for workup of Crohn’s Disease

 

D Empiric oral steroid therapy[/size]

]]>3247Sun, 29 Sep 2024 10:47:45 +00009/6/2024https://pediatricsurgeryclub.com/topic/3171-962024/[size=20px]A patient undergoes anal sphincterotomy for fistula-in-ano. To keep stool from the operative field, the surgeon packs a temporary ray-tec sponge in the rectum with the intention to remove it at the end of the case. The surgeon completes the procedure and the counts are correct. In the PACU the parents noted that there is a sponge in the diaper. The child is otherwise doing well. Federal legislation mandates reporting this event to the

 

A Scrub nurse

 

B Hospital Safety Committee

 

C Divisional M and M committee

 

D Parents

 

E Primary care provider[/size]

]]>3171Sun, 09 Jun 2024 11:10:52 +00009/7/2023https://pediatricsurgeryclub.com/topic/2940-972023/A 5-year-old boy undergoes incision and drainage of a perianal abscess. He is discharged home and completes a course of oral amoxicillin/clavulanate (Augmentin). The boy returns to your clinic 4 weeks later with a persistently draining perianal fistula at the 5 o’clock lithotomy position. He has no further pain or fevers.

 

The most appropriate next step is:

 

A Observation alone as the fistula will likely close spontaneously

 

B Fistulotomy as the fistula will not likely close spontaneously

 

C Referral to Pediatric Gastroenterology for workup of Crohn’s Disease

 

D Empiric oral steroid therapy

]]>2940Sun, 09 Jul 2023 19:15:16 +0000Anal Fistulotomy for perianal fistulahttps://pediatricsurgeryclub.com/topic/2565-anal-fistulotomy-for-perianal-fistula/see video link in second post

 

2021-12-20_19-12-48.png.d061037fc6e39160b3dc807feb00b969.png

]]>2565Mon, 20 Dec 2021 16:13:11 +000022/8/2021https://pediatricsurgeryclub.com/topic/2363-2282021/[size=20px]A three-month old child has a recently drained perianal abscess and presents with a draining fistula at the site of the incision. What is the best next step in management of this infant with a perianal fistula?

 

A fistulotomy

 

B infliximab

 

C seton placement

 

D antibiotics

 

E observation[/size]

]]>2363Sun, 22 Aug 2021 13:06:36 +0000