Editorial
Copyright ©The Author(s) 2016. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. Jul 14, 2016; 22(26): 5867-5878
Published online Jul 14, 2016. doi: 10.3748/wjg.v22.i26.5867
Anorectal emergencies
Varut Lohsiriwat
Varut Lohsiriwat, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand
Author contributions: Lohsiriwat V solely contributed to this article.
Conflict-of-interest statement: The author has no conflict of interests.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Varut Lohsiriwat, MD, PhD, Associate Professor of Surgery, Division of Colon and Rectal Surgery, Department of Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Wang-Lung Road, Bangkok Noi, Bangkok 10700, Thailand. bolloon@hotmail.com
Telephone: +66-2-4198005 Fax: +66-2-4121370
Received: March 24, 2016
Peer-review started: March 24, 2016
First decision: May 12, 2016
Revised: May 23, 2016
Accepted: June 15, 2016
Article in press: June 15, 2016
Published online: July 14, 2016
Processing time: 104 Days and 14.9 Hours
Core Tip

Core tip: Anorectal emergencies refer to anorectal disorders presenting with acute symptoms and signs which might require an immediate management. Anorectal emergencies usually include acutely thrombosed external hemorrhoid, complicated internal hemorrhoid, anal fissure, irreducible rectal prolapse, anorectal sepsis, sexually transmitted proctitis, obstructing rectal cancer and early complications after anorectal procedures. A detailed history taking, careful physical examination including digital rectal examination and anoscopy, and some radiological imaging are essential for correct diagnosis and plan of treatment. Clinicians should be familiar with these conditions especially anorectal sepsis which could be potentially lethal if delay in diagnosis and management.