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Magnetic Resonance Imaging For Perianal Fistulizing Disease: Evaluation Methods And Anatomical Insights

Author(s) Prof. Yogesh Patil
Country India
Abstract Following clinical assessment and radiological evaluation with ultrasound and MR fistulogram, the diagnosis confirmed was a utero-cutaneous fistula. To address this, a complete resection of the fistulous tract was performed, along with closure of the uterine defect and placement of a supportive omentum patch. The presence of the utero-cutaneous fistula was confirmed intraoperatively by injecting methylene blue dye. Utero-cutaneous fistula is a rare complication that can occur after a caesarean section (Thipphavong et al., 2019). Initially, plain radiography, combined with contrasted examinations and fistulograms, was commonly used to study fistulas. These traditional methods remain valuable. However, advancements in imaging techniques over the past 15 years, including endoscopy, ultrasound, and cross-sectional imaging, have significantly improved diagnostic capabilities. In evaluating acquired enterocutaneous fistulas, various imaging modalities play key roles both diagnostically and therapeutically. Among these, gadolinium-enhanced T1-weighted imaging (Gd-T1WI) is particularly effective in visualizing bladder fistulas, showing superior detail compared to T1-weighted or T2-weighted imaging. Non-bladder fistulas can be identified by all imaging procedures with varying levels of effectiveness. Perianal fistulas are the most clearly visualized on MR images, with consistent performance across different MR sequences.
Keywords Obstetrics and gynaecology; Surgery
Field Engineering
Published In Volume 5, Issue 6, June 2024
Published On 2024-06-23
Cite This Magnetic Resonance Imaging For Perianal Fistulizing Disease: Evaluation Methods And Anatomical Insights - Prof. Yogesh Patil - IJLRP Volume 5, Issue 6, June 2024.
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