Anal pain is among the most frequent complaints referred in coloproctology clinic. Nevertheless, this symptom may have a great variety of etiopathogenetic causes. This is the first report that highlights the presence of a rare cause of anal pain, originated by ingested seeds. A year-old male had a 4-day history of fever, anal pain, and discharge. A three-dimensional endoanal ultrasound revealed two perianal abscess cavities with central hyperechogenic areas, in the absence of acoustic shadow. The patient underwent examination under epidural anesthesia, where the two cavities were drained endoanally. The utilization of endoanal ultrasound in the investigation of perianal pain is a valuable option.
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Levator syndrome is sporadic pain in the rectum caused by spasm of a muscle near the anus the levator ani muscle. The rectum is the section of the digestive tract above the anus where stool is held before it passes out of the body through the anus. The anus is the opening at the end of the digestive tract where stool leaves the body. See also Overview of the Anus and Rectum.
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Anal pain is defined as pain originating from the anal canal or the perianal area that can be attributed to a variety of medical problems. A total of patients presented to our radiology department complaining of anal pain and were examined using transperineal, endoanal, and in women, transvaginal ultrasound aided with three-dimensional capability. The final diagnosis was reached, according to the surgical results and the histopathology reports in cases diagnosed with anorectal neoplasms and perianal masses. A total of patients were diagnosed with perianal fistulas. Twenty-five cases presented with anal abscesses.