Proctologie pédiatrique courante

Abstract

The reasons for children to consult in pediatric proctology are various, usually benign and non-surgical. The main infectious diseases are perianal abscess which management remains controversial, and perineal streptococcal infection which is often delayed in diagnosis and has a high recurrence in case of poor compliance or inappropriate treatment. Anal fissure and rectal prolapse are the most frequent non infectious diseases, and they are both related to constipation which must be treated effectively. Cystic fibrosis must be investigated in case of rectal prolapse. Perianal lesions secondary to sexual abuse are often really difficult to diagnose certainly and should not be under- or over-estimated because of a lack of knowledge in perianal findings in children.