FRCS Gen Surg Practice Questions - Intercollegiate Specialty Fellowship Examination In General Surgery (FRCS Gen Surg) Exam

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A 40-year-old man presents with a tender, fluctuant swelling lateral to the anal margin with overlying erythema and fever. There is no obvious internal opening. What is the most appropriate immediate management?

Oral antibiotics and outpatient review Incision and drainage under anaesthesia Immediate fistulotomy Endoanal ultrasound before any intervention

Correct Answer:

Incision and drainage under anaesthesia

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