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Perianal abscess (PA) is defined as a cavity filled with pus around either the anus or The traditional management of perianal abscess is incision and drainage. .. is direct and does not follow Goodsall's rule for fistulas seen in adult patients. Perianal abscess (PA) is defined as a cavity filled with pus around either the The traditional management of perianal abscess is incision and drainage. . the tract is direct and does not follow Goodsall's rule for fistulas seen in adult patients​.