Turkish Journal of Pediatric Surgery

Ali Ekber Hakalmaz1, Ayşe Kalyoncu Uçar2, Gonca Topuzlu Tekant1, Yunus Söylet1, Sinan Celayir1

1İstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Çocuk Cerrahisi Anabilim Dalı, İstanbul, Türkiye
2İstanbul Üniversitesi-Cerrahpaşa, Cerrahpaşa Tıp Fakültesi, Radyoloji Anabilim Dalı, İstanbul, Türkiye

Keywords: Acute abdomen, anorectal abscess, ischiorectal abscess, periurethral abscess, perivaginal abscess, vaginal discharge.


Various abscess formations can develop between the pelvic organs and perineal surfaces by different mechanisms. Anorectal abscesses are one of the most common causes of these disorders. Although it appears clinically as a local inflammation, it can progress with complications, particularly when there are other underlying pathologies. In most cases, treatment is drainage and antibiotherapy. However, anatomical and terminological classification of clinical presentations is of utmost importance for treatment and follow-up of complications. In this article, we present a case of an anorectal abscess which filled the periurethral, perivaginal, and perirectal spaces and spread to the gluteoperineal area and spontaneously drained into the vaginal lumen in an adolescent case who presented with the clinic of acute abdomen and sepsis.