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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2006 February;19(1):101-2
Perianal abscess caused by toothpick. A case report
Karadeniz Technical University Faculty of Medicine Department of General Surgery, Trabzon, Turkey
Perianal abscess is a common anorectal surgical problem. A 47-year old female patient presented with perianal pain, and fever. Rectal examination revealed a large tender fluctuant lump in the left perianal region and diagnosis of perianal abscess was made. The abscess was drained and broken half of a toothpick was extracted from the abscess cavity. Proctoscopic examination was normal. Wound swab grew mixed coliform organisms. At one and six months follow up, she remained well with complete healing of the wound. The importance of careful examination of the abscess cavity when draining perianal abscesses is emphasized, otherwise a foreign body could be missed and lead to persistent sepsis.