Digital Rectal Examination versus Magnetic Resonance Fistulography in Diagnosis of Perianal Fistula | ||||
| Ain Shams Journal of Surgery | ||||
| Volume 17, Issue 1, January 2024, Page 71-75 PDF (284.59 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/asjs.2024.337014 | ||||
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| Authors | ||||
Ahmed M. Farrag ; Sherif Abd-El Halim; Mohamed Yosry Mohamed; Ahmed Fatouh Ahmed 
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| General Surgery Department, Faculty of Medicine, Ain Shams University, Egypt | ||||
| Abstract | ||||
| Introduction: Fistula in ano disease has significant implications for the patient’s quality of life as a sequelae range from minor pain and social hygienic embarrassment to frank sepsis. The majority of fistula in ano has a single simple track that is easily identified through PR examination and during surgery, however 5%-15% of cases have more complicated course, with high recurrence rate due to errors in assessing and dealing with the internal openings, the primary tract, or any secondary extensions and abscesses, particularly supralevator sepsis. Although most fistulae are simple and easy to treat, some pose greater problems. Fear of causing incontinence and lack of confidence in fistula assessment prompt most referrals from other surgeons. Aim of work: To compare digital rectal examination and Magnetic Resonance Fistulography findings in diagnosis of perianal fistula and its type according to parks classification depending on intraoperative findings. Patients and methods: This is a Cross-sectional study (Diagnostic accuracy testing) was done on 30 patients presented to outpatient clinic at El Demerdash hospital and Dar Elshefaa hospital examined and diagnosed with perianal fistula by colorectal consultants and had done Magnetic Resonance Fistulography. Results: This study’s results showed that there is no preference between preoperative examination findings and MRI findings in the determination of the type of tract of fistula in ano; however, there’s a significant preference for preoperative examination over MRI findings in the detection of external and internal openings. Conclusion: There is no preference between preoperative examination of a fistula in ano by experienced colorectal consultants and MRI findings in the determination of fistula type, while preoperative examination has a greater preference in the detection of external and internal openings over MRI findings. | ||||
| Keywords | ||||
| Digital rectal examination; magnetic resonance fistulography; perianal fistula | ||||
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