PMC10365909_01
Monkeypox-induced perianal lesions. These painful perianal lesions were the initial manifestation of the monkeypox virus infection.
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fig1
The patient was tested for the monkeypox virus two weeks prior to this admission after developing painful anal lesions (Figure 1).
CT angiography (CTA) of the abdomen and pelvis. CT angiography revealed circumferential wall thickening with significant inflammatory changes at the level of the distal rectum and anus, indicating proctocolitis (black arrow). Small rounded hypodensities, adjacent to the distal rectum measuring 11 and 14 mm, were suspicious for rectal abscesses.
CRIGM2023-9981631.002.jpg
PMC10365909_01_CRIGM2023-9981631.002.jpg
fig2
CT angiography (CTA) abdomen and pelvis (Figure 2) revealed circumferential wall thickening with significant inflammatory changes at the level of the distal rectum and anus indicating proctocolitis.