Imaging of peri-anal sepsis
Madany, A., Murad, A., kabbash, M., Hamdy, A. (2022). Imaging of peri-anal sepsis. EKB Journal Management System, 2(2), 58-80. doi: 10.21608/aumj.2022.141362.1010
Asmaa Hagagy Madany; Amr Farouk Murad; mansor mohammed kabbash; Ahmed Hamdy. "Imaging of peri-anal sepsis". EKB Journal Management System, 2, 2, 2022, 58-80. doi: 10.21608/aumj.2022.141362.1010
Madany, A., Murad, A., kabbash, M., Hamdy, A. (2022). 'Imaging of peri-anal sepsis', EKB Journal Management System, 2(2), pp. 58-80. doi: 10.21608/aumj.2022.141362.1010
Madany, A., Murad, A., kabbash, M., Hamdy, A. Imaging of peri-anal sepsis. EKB Journal Management System, 2022; 2(2): 58-80. doi: 10.21608/aumj.2022.141362.1010

Imaging of peri-anal sepsis

Aswan University Medical Journal
Volume 2, Issue 2, December 2022, Page 58-80  XML PDF (1.64 MB)
Document Type: Review Articles
DOI: 10.21608/aumj.2022.141362.1010
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Authors
Asmaa Hagagy Madany email 1; Amr Farouk Murad2; mansor mohammed kabbash3; Ahmed Hamdy4
1Radiology department, faculty of medicine , aswan university, aswan ,egypt
2radiology department,faculty of medicine, assuit university, assuit , egypt
3General Surgery department, Faculty of Medicine – Aswan University,Aswan, Egypt
4diagnostic radiology, faculty of medicine, Aswan university
Abstract
Background: Anal fistula is one of the most frequently reported anorectal disorders that has a propensity to recur, particularly in complex cases usually because of un-detected sepsis at operation time.
The aim of our review was to assess the diagnostic validity of pelvic MRI with MR Fistulogram in the diagnosis, assessment and classification of Peri-anal fistula.
Main text: A broad literature review has been done, searching the electronic databases including Google Scholar and PubMed using keywords like perianal fistula, MRI, and anorectal sepsis, in addition to the standard text-books of colorectal diseases.
Contrast X-rays, CT scans, anal endo-sonography, and MRI are the methods utilized for pre-operative scanning of fistula in ano(1). Because of its low accuracy, X-ray fistulo-graphy seldomly utilized for imaging of peri-anal fistula(2). CT fistula-graphy may be more precise in patients presented with acute inflammation, abscess or the fistulae connected with inflammatory bowel diseases(3).
Anal endo-sonography and MR-imaging are commonly utilized and dependable imaging methods for fistula in ano(2). The usage of 3D technologies has upgraded the precision of anal endo-sonography. MR-Imaging is now considered the favorite option(4). But, several researches have showed similar accuracies for both MR-Imaging and anal endo-sonography with similar sensitivity. However, with more MRI specificity(5).
Conclusion: MRI is extremely effective in preoperative classification of Peri-anal fistulae, thus enabling selection of correct surgical procedure and preventing recurrence.
Keywords
Fistula; MRI; Abscess; Colorectal; Fistulogram
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