Acute Perianal Abscess with Gluteal Panniculitis: A Case of Successful Surgical Management.

Ann Afr MedJun 30, 2026 (epub)
Case ReportGeneral SurgeryRadiology (Diagnostic)

Shiksha Agarwal, Nilesh Sinha

✦ AI-curated · Sources linked

Case in brief

A 34-year-old man presented with progressive pain, swelling, and erythema around the perianal and right gluteal regions, without systemic symptoms. Imaging showed subcutaneous panniculitis but no deep extension or fistulous communication. Incision and drainage with debridement revealed a fish bone in the abscess cavity, considered a likely nidus of infection. He received intravenous antibiotics and daily wound care. Recovery was uneventful, with complete symptom resolution and no recurrence during follow-up.

What made this case unusual

A fish bone was found within the abscess cavity alongside gluteal panniculitis, while imaging showed no deep extension or fistulous communication.

Diagnostic / clinical pearl

In an atypical perianal presentation with gluteal inflammation, combine clinical assessment with imaging to define the extent of disease; operative exploration may also reveal a foreign body serving as a likely infectious nidus.

Source

PubMed · PMID 42381289

Published in Ann Afr Med. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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