Perianal Fistula Evaluation on Pelvic Mri: Our Experience
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 1
Abstract
objective: Perianal fistula is an important condition that causes substantial morbidity. It occurs in 10 of 100,000 persons and has a tendency to recur despite seemingly adequate surgery. This study was undertaken to assess the role of MRI in the detection and classification of Perianal Fistula and correlation of preoperative MRI findings with the findings on surgery. Materials And Methods: This prospective study contained 40, MRI were performed and the results were ensured by surgical results, sensitivity, specificity and predictive values of MRIs were determined.RESULTS: 36 patients with perianal sepsis were included in this study, eight cases grade 1 (simple linear intersphincteric fistula), five cases grade 2 (intersphincteric fistula with abscess or secondary track), nine cases grade 3 (trans-sphincteric fistula), twelve cases grade 4 (trans-sphincteric fistula and two cases grade 5 (supralevator and translevator disease one case for each). Axial and coronal T2W fat-saturated images and T1W fat-sat Post-GD images were found to be most accurate in evaluation of extent of perianal fistula. CONCLUSION: By using MRI as the first line imaging modality in the evaluation of Perianal Fistula one can percept best possible surgical management resulting in prevention of residual/ recurrent disease.
Authors and Affiliations
Dr. Paresh Kumar Sukhani, Dr. Sanyukta Gupta
Keywords
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- EP ID EP576418
- DOI 10.9790/0853-1701053846.
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