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CASE SUMMARY: A 23-year-old man presents to a surgeon as an outpatient after recent incision and drainage of a gluteal abscess 3 days before in the emergency department. He admits… Click to show full abstract
CASE SUMMARY: A 23-year-old man presents to a surgeon as an outpatient after recent incision and drainage of a gluteal abscess 3 days before in the emergency department. He admits to intermittent pain and drainage for the past year in the soft tissue near his gluteal cleft. He does not have a history of IBD, associated diarrhea, rectal bleeding, or pain with defecation. On examination he is an obese, hirsute man. His perineum is normal, with a normal anorectal examination. A 3-cm area to the left of his gluteal cleft is erythematous and indurated, and removal of packing reveals purulent drainage from the previously incised abscess. He has a deep gluteal cleft, and small pits along the sacrococcygeal midline are appreciated.
Journal Title: Diseases of the colon and rectum
Year Published: 2018
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