{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T11:50:32Z","timestamp":1787313032534,"version":"build-2736575974"},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2006,2,8]],"date-time":"2006-02-08T00:00:00Z","timestamp":1139356800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2006,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Probably because of the low frequency, perianal abscess (PA) and fistula\u2010in\u2010ano (FIA) in children older than 2 years have not been investigated except in those with a predisposing condition such as Crohn\u2019s disease. This study aims to summarize our experience about the characteristics and treatment of PA and FIA in healthy children.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The charts of all children older than 24\u00a0months of age treated for PA and\/or FIA from 1990 to 2003 were reviewed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>We found 40 patients, 37 of them boys (92.5%), ranging from 2 to 14 years of age (average: 7.19 years). At the first examination, the diagnosis was PA in 36 patients (mean age: 6.8 years; range: 2.3\u201313 years), and FIA in 4 patients (mean age: 10.8 years; range: 6\u201314 years). The primary local treatment of PA was drainage (needle aspiration in 26 patients, and incision and drainage in 4 patients) and local care in 6 patients. All patients received antibiotics. Overall, 29 children (80.6%) had primary cure of the abscess. Evolution included recurrent abscess in 3 patients (8.3%) and FIA in 4 patients (11.1%). Crohn\u2019s disease was diagnosed in only one boy with an abscess of long duration. No patient developed a new PA in another location or a recurrent FIA. Four male patients aged 6 to 14 years (range: 7.1 years) had a FIA of long duration. One patient underwent a fistulectomy. Crohn\u2019s disease was found in three other children and treated conservatively.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Drainage of PA by needle aspiration associated with antibiotics is effective in children older than 2 years of age with a low rate of evolution toward FIA. Associated pathology must be ruled out in children with FIA.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-005-0415-0","type":"journal-article","created":{"date-parts":[[2006,2,8]],"date-time":"2006-02-08T08:28:17Z","timestamp":1139387297000},"page":"467-472","source":"Crossref","is-referenced-by-count":29,"title":["Characteristics of Perianal Abscess and Fistula\u2010in\u2010Ano in Healthy Children"],"prefix":"10.1002","volume":"30","author":[{"given":"Francis","family":"Serour","sequence":"first","affiliation":[{"name":"Department of Pediatric Surgery The Edith Wolfson Medical Center Halokhamim Street 62, P.O. Box 5 58100 Holon Israel"},{"name":"Department of Surgery, The Sackler Faculty of Medicine Tel Aviv University P.O. Box 39040 69978 Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Arkadi","family":"Gorenstein","sequence":"additional","affiliation":[{"name":"Department of Pediatric Surgery The Edith Wolfson Medical Center Halokhamim Street 62, P.O. Box 5 58100 Holon Israel"},{"name":"Department of Surgery, The Sackler Faculty of Medicine Tel Aviv University P.O. Box 39040 69978 Tel Aviv Israel"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2006,2,8]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2000.6931"},{"key":"e_1_2_5_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(93)90163-F"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF02139215"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022\u20103468(94)90587\u20108"},{"key":"e_1_2_5_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0039\u20106109(02)00063\u20104"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1097\/00006454-199006000-00009"},{"key":"e_1_2_5_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(98)70411-1"},{"key":"e_1_2_5_9_2","doi-asserted-by":"publisher","DOI":"10.1053\/jpsu.2002.29449"},{"key":"e_1_2_5_10_2","first-page":"118","article-title":"Chronic granulomatous disease: a case report","volume":"33","author":"Ma JS","year":"2000","journal-title":"J Microbiol Immunol Infect"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10350\u2010004\u20100844\u20100"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s003830050315"},{"key":"e_1_2_5_13_2","first-page":"2181","volume-title":"Nelson Textbook of Pediatrics","author":"Nicholson JF","year":"2000"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(98)90193-2"},{"key":"e_1_2_5_15_2","first-page":"737","article-title":"Fistula\u2010in\u2010ano in infants and children: implications and management","volume":"87","author":"Longo WE","year":"1991","journal-title":"Pediatrics"},{"key":"e_1_2_5_16_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00383-002-0761-z"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365\u20102168.1997.02699.x"},{"key":"e_1_2_5_18_2","first-page":"385","article-title":"Perianal abscess in children","volume":"74","author":"Abercrombie JF","year":"1992","journal-title":"Ann R Coll Surg Engl"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-3468(91)90694-O"},{"key":"e_1_2_5_20_2","doi-asserted-by":"publisher","DOI":"10.1002\/j.1536-4801.1995.tb11762.x"},{"key":"e_1_2_5_21_2","doi-asserted-by":"publisher","DOI":"10.1097\/00054725-200303000-00003"},{"key":"e_1_2_5_22_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00176070"},{"key":"e_1_2_5_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(85)80399-7"},{"key":"e_1_2_5_24_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800750925"},{"key":"e_1_2_5_25_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3468(87)80327-5"},{"key":"e_1_2_5_26_2","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.4017"}],"container-title":["World Journal of Surgery"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/link.springer.com\/content\/pdf\/10.1007\/s00268-005-0415-0.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/link.springer.com\/article\/10.1007\/s00268-005-0415-0\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1007\/s00268-005-0415-0","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,1,8]],"date-time":"2024-01-08T12:37:19Z","timestamp":1704717439000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1007\/s00268-005-0415-0"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2006,2,8]]},"references-count":25,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2006,3]]}},"alternative-id":["10.1007\/s00268-005-0415-0"],"URL":"https:\/\/doi.org\/10.1007\/s00268-005-0415-0","archive":["Portico"],"relation":{},"ISSN":["0364-2313","1432-2323"],"issn-type":[{"value":"0364-2313","type":"print"},{"value":"1432-2323","type":"electronic"}],"subject":[],"published":{"date-parts":[[2006,2,8]]}}}