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Clin Colon Rectal Surg 2008; 21(3): 213-219
DOI: 10.1055/s-2008-1081000
© Thieme Medical Publishers

Magnetic Resonance Imaging in the Management of Anal Fistula and Anorectal Sepsis

Myles Joyce1 , Joseph C. Veniero2 , Ravi Pokala Kiran1
  • 1Department of Colorectal Surgery, Cleveland Clinic Foundation, Cleveland, Ohio
  • 2Department of Diagnostic Radiology, Cleveland Clinic Foundation, Cleveland, Ohio
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Publikationsdatum:
24. Juli 2008 (online)

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ABSTRACT

Complex perianal disease may be extremely debilitating for the patient with significant impingement on quality of life. The accurate identification of anatomical areas of involvement and subsequent appropriate management is crucial to achieving a successful outcome when treating anorectal sepsis and anal fistulae. Magnetic resonance imaging (MRI) has become a powerful tool in the evaluation of anal anatomy. In patients with complex disease MRI is an important adjunct in delineating disease location and extent, its relationship to sphincter muscles, and in planning management. MRI also plays an important role in evaluating the response to medical and surgical therapies.

KEYWORDS

MRI - anal fistula - anorectal sepsis - anovaginal fistula - Crohn's disease

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Ravi Pokala KiranM.D. 

Department of Colorectal Surgery, Cleveland Clinic Foundation

9500 Euclid Ave./A30, Cleveland, OH 44195

eMail: kiranp@ccf.org