Perianal disease

Abstract

Perianal problems in children range from a straightforward subcutaneous abscess to the more dramatic rectal prolapse. These problems are often painful for the patient and distressing to caregivers. Perianal problems are common entities encountered in a pediatric surgical practice. Most are self-limited or easily treated and resolve completely. However, they may also be associated with a more serious systemic medical condition. For this reason, perianal pathology should be considered the outward signs of an underlying process until proven otherwise. This is particularly true for rectal prolapse, which is found in 20 % of patients with cystic fibrosis. Furthermore, the appearance of perianal disease in children can mimic conditions encountered in adults. However, the etiology and optimal management strategy in very young patients is often very different.