This patient presented acutely, to the clinic where I work, with rapidly accelerating rectal pain over the last 24 hours. Abscesses in this area can be quite large as around the rectum there are a lot of cavities where things can expand into. Medically we call these ‘3rd spaces’. As a result of mediocre anaesthesia at best, I was not aggressive in my attempts to break down loculations and I also elected to pack this. Happily, this healed quite well overnight and I did not repack the following day. A week later the area looked completely normal. As always, feel free to comment.
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