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Images in medicine
Abscess or something worse?
  1. Khalid Hamid Changal1,
  2. Richard Van De Graaf2
  1. 1 Internal Medicine, St. Vincent’s Mercy Medical Center, Toledo, Ohio, USA
  2. 2 General Surgery, St. Luke’s University Hospital, Bethlehem, Pennsylvania, USA
  1. Correspondence to Dr Khalid Hamid Changal, Internal Medicine, St. Vincent’s Mercy Medical Center, Toledo, OH 43608, USA; khalidchangal{at}gmail.com

http://dx.doi.org/10.1136/postgradmedj-2018-135882

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    A 25-year-old homosexual man, not regular with treatment, presented with fever, rectal pain and intermittent haematochezia. He had been diagnosed with HIV/AIDS 1 year prior. Examination showed anal condylomas and non-tender inguinal lymphadenopathy. CD4 count was 74/µL. CT scan of abdomen and pelvis showed a small hypodense collection with peripheral enhancement in the left perirectal region, measuring 1.9×1.4×2.5 cm (figure 1A). A diagnosis of rectal abscess was made. Treatment was done with intravenous antibiotics. Patient’s symptoms improved after 7 days of treatment. Two months …

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    Footnotes

    • Contributors KHC: collecting data, literature review, writing manuscript, editing, final approval. RVDG: collecting data, writing manuscript, editing.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.