Introduction: Perianal fistula is a commonly encountered disease, complete evaluation of which is essential to prevent recurrent surgery. Aim: The purpose of this study was to determine the role of magnetic resonance imaging (MRI) and sinogram in evaluation of perianal sinus and comparison between two investigations in pre-operative assessment of perianal fistulas. Materials and Methods: A pros...

BACKGROUND AND AIMS Treatment of complex perianal fistulas associated with Crohn's disease is challenging. In adults, seton drainage combined with infliximab therapy has proven to be more effective than either one alone. Results following such treatment among pediatric patients have not been reported previously. The aim of this study was to describe outcomes after combined seton and infliximab ...

conclusions based on the results of this study and according to the 1117 sensitivity of mri, it’s useful to locate the perianal fistulas, reduce the chance of recurrence and postoperative complications and can contribute the healing process better than other diagnostic methods. results amongst the total of 14 patients,in 1 patient (7117) transsphincteric fistula, 11 patients (78167) intersphinc...

Magnetic resonance imaging (MRI) depicts infectious foci in the perianal region better than any other imaging modality. MRI allows definition of the fistula, associated abscess formation and its secondary extensions. Accurate information is necessary for surgical treatment and to obtain a decrease in the incidence of recurrence and complications. Radiologists should be familiar with anatomical ...

A fistula-in-ano (also referred to as anal fistula, rectal fistula, perianal fistula or anorectal fistula) is an abnormal tract or cavity communicating with the rectum or the anal canal by an identifiable internal opening (1). The problem is still up-to-date and remains a difficultone to handle, with an overall incidence of 8.6:100,000 annually, affecting patients with a mean age of 38.3 years....

BACKGROUND Development of perianal fistulas are a common feature of Crohn's disease (CD). Consequences are severe impairment of quality of life as well as potentially life-threatening complications like abscess formation or bacterial sepsis. Therefore, appropriate treatment is an important task in the management of CD. METHODS This review describes the epidemiology, pathogenesis, diagnosis, a...

Perianal mucinous adenocarcinoma is a rare tumor which may be associated with long-standing chronic perianal sepsis. Early diagnosis is challenging and is based on a high index of clinical suspicion and specific histological features. Definitive treatment is surgical, in the form of an abdomino-perineal resection. We hereby describe a case of a perianal mucinous adenocarcinoma arising from long...

BACKGROUND Accurate preoperative assessment of the perianal fistulous tract is the main purpose of the diagnostics and to a large extend determines surgery effectiveness. One of the useful diagnostic methods in perianal fistulas is magnetic resonance imaging. The authors presented experiences in the application of MRI fistulography for evaluation of cases of perianal fistulas difficult to diagn...

Abstract Background Perianal fistula is a considered as chronic recurrent inflammatory condition that requires proper surgical treatment and may require repeated intervention. Therefore, adequate pre-operative radiological diagnosis plays critical role. In this study, we aimed at comparing the role of endoanal ultrasonography with MRI fistulography in evaluating primary fistula's tract, interna...

INTRODUCTION In children treated surgically for first-time perianal abscesses, discovery and excision of concomitant fistulas may also be warranted. AIM To evaluate children of varying age after incision and drainage of first-time perianal abscesses, examining recurrences rates with and without search for a fistula. METHOD A retrospective review was conducted, analyzing children (ages 0-15 ...