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  • MRI in evaluation of perianal fistulae = Ocenjevanje perianalnih fistul z magnetno resonanco
    Sofić, Amela ...
    Background. Fistula is considered to be any abnormal passage which connects two epithelial surfaces. Parksć fistulae classification demonstrates the biggest practical significance and divides ... fistulae intoČ intersphincteric, transsphincteric, suprasphincteric and extrasphincteric. Etiology of perianal fistulae is most commonly linked with the inflammation of anal glands in Crohnćs disease, tuberculosis, pelvic infections, pelvic malignant tumours, and with the radiotherapy. Diagnostic method options areČ RTG fistulography, CT fistulography and magnetic resonance imaging (MRI) of pelvic organs. Patients and methods. We have included 24 patients with perirectal fistulae inthe prospective study. X-rays fistulography, CT fistulography, and then MRI of the pelvic cavity have been performed on all patients. Accuracy of each procedure in regards to the patients and the etiologic cause have been statistically determined. Results. 29.16% of transphincteric fistulae have been found, followed by 25% of intersphincteric, 25% of recto-vaginal, 12.5% of extrasphincteric, and 8.33% of suprasphincteric. Abscess collections have been found in 16.6% patients. The most frequent etiologic cause of perianal fistulae was Crohnćs disease in 37.5%, where the accuracy of classification ofMRI was 100%, CT was 11% and X-rays 0%. Ulcerous colitis was the second cause, with 20.9% where the accuracy of MRI was 100%, while CT was 80% and X-rays was 0%. All other etiologic causes of fistulae were found in 41.6% patients. Conclusions. MRI is a reliable diagnostic modality in the classification of perirectal fistulae and can be an excellent diagnostic guidefor successful surgical interventions with the aim to reduce the number of recurrences. Its advantage is that fistulae and abscess are visible withoutthe need to apply any contrast medium.
    Vir: Radiology and oncology. - ISSN 1318-2099 (Vol. 44, no. 4, dec. 2010, str. 220-227, II)
    Vrsta gradiva - članek, sestavni del ; neleposlovje za odrasle
    Leto - 2010
    Jezik - angleški
    COBISS.SI-ID - 254386176

vir: Radiology and oncology. - ISSN 1318-2099 (Vol. 44, no. 4, dec. 2010, str. 220-227, II)
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