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Infection of the ischiorectal space may spread rapidly and extensively resulting in an anorectal abscess. The infection commonly results from hematogenous infection, a ruptured anal hemorrhoid, anal fissures, prolapsed thrombosed internal hemorrhoid, or in association with injury of the anal skin or mucous membrane by the nozzle of an enema syringe. I present here four cases of posterior anorectal abscess (PAA) resulting from a hip contusion sustained while skiing during the past four ski seasons.
athletic injuries, skiing injuries, fistula, anorectal abscess
Medical doctor, The Japan Society of Colo-Proctology, Sendai Miyage,