Perianal hematoma: Difference between revisions
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{{Infobox medical condition | |||
| name = Perianal hematoma | |||
| image = [[File:Analthrombose_01.svg|250px]] | |||
| caption = Illustration of a perianal hematoma | |||
| synonyms = Perianal thrombosis, external hemorrhoid | |||
| field = [[Colorectal surgery]], [[Proctology]] | |||
| symptoms = [[Pain]], [[swelling]] near the [[anus]], [[blue]] or [[purple]] discoloration | |||
| complications = [[Infection]], [[abscess]] formation | |||
| onset = Sudden | |||
| duration = Days to weeks | |||
| causes = [[Straining]], [[constipation]], [[heavy lifting]], [[trauma]] | |||
| risks = [[Constipation]], [[pregnancy]], [[obesity]], [[sedentary lifestyle]] | |||
| diagnosis = [[Physical examination]] | |||
| differential = [[Hemorrhoids]], [[anal fissure]], [[perianal abscess]] | |||
| prevention = Avoid straining, maintain [[bowel regularity]] | |||
| treatment = [[Pain management]], [[sitz baths]], [[surgical excision]] | |||
| medication = [[Analgesics]], [[topical anesthetics]] | |||
| prognosis = Good with treatment | |||
| frequency = Common | |||
}} | |||
[[File:PerianalHematoma.jpg|Perianal Hematoma|thumb|left]] | |||
'''Perianal Hematoma''' is a medical condition characterized by the collection of blood in the [[perianal tissue]]. It is often caused by the rupture of a small vein that drains blood from the [[anus]] and [[rectum]]. | '''Perianal Hematoma''' is a medical condition characterized by the collection of blood in the [[perianal tissue]]. It is often caused by the rupture of a small vein that drains blood from the [[anus]] and [[rectum]]. | ||
== Causes == | == Causes == | ||
The primary cause of a perianal hematoma is straining, which can occur during heavy lifting or while passing hard stool. Other potential causes include [[pregnancy]], [[constipation]], and [[diarrhea]]. | The primary cause of a perianal hematoma is straining, which can occur during heavy lifting or while passing hard stool. Other potential causes include [[pregnancy]], [[constipation]], and [[diarrhea]]. | ||
== Symptoms == | == Symptoms == | ||
The main symptom of a perianal hematoma is a painful, tender lump near the anus. Other symptoms can include discomfort while sitting, [[rectal bleeding]], and itching around the anus. | The main symptom of a perianal hematoma is a painful, tender lump near the anus. Other symptoms can include discomfort while sitting, [[rectal bleeding]], and itching around the anus. | ||
== Diagnosis == | == Diagnosis == | ||
Diagnosis of a perianal hematoma is typically made through a physical examination. In some cases, a [[proctoscopy]] may be performed to rule out other conditions such as [[hemorrhoids]] or [[anal fissures]]. | Diagnosis of a perianal hematoma is typically made through a physical examination. In some cases, a [[proctoscopy]] may be performed to rule out other conditions such as [[hemorrhoids]] or [[anal fissures]]. | ||
== Treatment == | == Treatment == | ||
Treatment for a perianal hematoma can vary depending on the size and severity of the condition. Small hematomas may resolve on their own without treatment. Larger hematomas may require a simple surgical procedure to drain the blood. Pain relief can be achieved through over-the-counter painkillers, warm baths, and the application of a topical anesthetic cream. | Treatment for a perianal hematoma can vary depending on the size and severity of the condition. Small hematomas may resolve on their own without treatment. Larger hematomas may require a simple surgical procedure to drain the blood. Pain relief can be achieved through over-the-counter painkillers, warm baths, and the application of a topical anesthetic cream. | ||
== Prognosis == | == Prognosis == | ||
The prognosis for a perianal hematoma is generally good. Most people recover fully with appropriate treatment. However, if left untreated, a perianal hematoma can lead to complications such as [[anemia]] due to blood loss, or [[abscess]] formation. | The prognosis for a perianal hematoma is generally good. Most people recover fully with appropriate treatment. However, if left untreated, a perianal hematoma can lead to complications such as [[anemia]] due to blood loss, or [[abscess]] formation. | ||
== See Also == | == See Also == | ||
* [[Hemorrhoids]] | * [[Hemorrhoids]] | ||
* [[Anal fissures]] | * [[Anal fissures]] | ||
* [[Proctoscopy]] | * [[Proctoscopy]] | ||
[[Category:Medical conditions]] | [[Category:Medical conditions]] | ||
[[Category:Gastrointestinal disorders]] | [[Category:Gastrointestinal disorders]] | ||
{{Medicine-stub}} | {{Medicine-stub}} | ||
Latest revision as of 05:29, 9 April 2025
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Perianal hematoma | |
|---|---|
| |
| Synonyms | Perianal thrombosis, external hemorrhoid |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Pain, swelling near the anus, blue or purple discoloration |
| Complications | Infection, abscess formation |
| Onset | Sudden |
| Duration | Days to weeks |
| Types | N/A |
| Causes | Straining, constipation, heavy lifting, trauma |
| Risks | Constipation, pregnancy, obesity, sedentary lifestyle |
| Diagnosis | Physical examination |
| Differential diagnosis | Hemorrhoids, anal fissure, perianal abscess |
| Prevention | Avoid straining, maintain bowel regularity |
| Treatment | Pain management, sitz baths, surgical excision |
| Medication | Analgesics, topical anesthetics |
| Prognosis | Good with treatment |
| Frequency | Common |
| Deaths | N/A |
Perianal Hematoma is a medical condition characterized by the collection of blood in the perianal tissue. It is often caused by the rupture of a small vein that drains blood from the anus and rectum.
Causes[edit]
The primary cause of a perianal hematoma is straining, which can occur during heavy lifting or while passing hard stool. Other potential causes include pregnancy, constipation, and diarrhea.
Symptoms[edit]
The main symptom of a perianal hematoma is a painful, tender lump near the anus. Other symptoms can include discomfort while sitting, rectal bleeding, and itching around the anus.
Diagnosis[edit]
Diagnosis of a perianal hematoma is typically made through a physical examination. In some cases, a proctoscopy may be performed to rule out other conditions such as hemorrhoids or anal fissures.
Treatment[edit]
Treatment for a perianal hematoma can vary depending on the size and severity of the condition. Small hematomas may resolve on their own without treatment. Larger hematomas may require a simple surgical procedure to drain the blood. Pain relief can be achieved through over-the-counter painkillers, warm baths, and the application of a topical anesthetic cream.
Prognosis[edit]
The prognosis for a perianal hematoma is generally good. Most people recover fully with appropriate treatment. However, if left untreated, a perianal hematoma can lead to complications such as anemia due to blood loss, or abscess formation.
See Also[edit]
