Imaging of Perianal Inflammatory Diseases by Andrea Bondurri, Piergiorgio Danelli, Matteo Marone (auth.),

By Andrea Bondurri, Piergiorgio Danelli, Matteo Marone (auth.), Massimo Tonolini, Giovanni Maconi (eds.)

This functional quantity is meant for all radiologists, gastroenterologists, and surgeons who're chargeable for, or drawn to, the prognosis and care of sufferers with ailments of the anal and perianal zone. After an introductory part concentrating on surgical, MRI, and US anatomy, up to date scientific and healing info is supplied at the complete variety of perianal inflammatory stipulations, with exact consciousness to Crohn’s affliction, ulcerative colitis, and sexually transmitted illnesses. actual and surgical exam is thoroughly mentioned, with attention of barriers, effects, scientific wishes, and the questions more likely to be posed of imaging. the next 3 sections supply targeted details at the diversified imaging modalities: transanal and transperineal ultrasound, contrast-enhanced MRI, and CT. suggestions, diagnostic accuracy, universal and weird sickness styles, artifacts, and pitfalls are in actual fact presented.

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AJR Am J Roentgenol 170: 637-42 4. 5. 6. 7. 1 Disease Spectrum Inflammatory bowel diseases (IBD), which include Crohn’s disease (CD) and ulcerative colitis (UC), are chronic inflammatory diseases of the gastrointestinal tract [1]. IBD cause significant gastrointestinal symptoms, among which are diarrhea, abdominal pain, bleeding, anemia, and weight loss. They are also associated with a spectrum of extraintestinal manifestations, such as arthritis, ankylosing spondylitis, sclerosing cholangitis, uveitis, iritis, pyoderma gangrenosum, and erythema nodosum.

5. 6. 7. 8. 9. 10. 11. 12. Shawki S, Wexner SD (2011) Idiopathic fistula-in-ano. World J Gastroenterol 17(28): 3277–3285 Whiteford MH (2007) Perianal Abscess/Fistula Disease. Clin Colon Rectal Surg 20(2): 102–109 Pescatori M (2011) Ascessi, fistole anali e retto vaginali. Springer, Milan Corman M (2005) Colon & rectal surgery, 5th edn. Lippincot Williams & Wilkins, Philadelphia. pp 7-27, 279-332 Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63:1–12 Kim Y, Jin Park Y (2009) Three-dimensional endoanal ultrasonographic assessment of an anal fistula with and without H2O2 enhancement.

N Engl J Med 340:1398-1405 Sandborn WJ, Present DH, Isaacs KL et al (2003) Tacrolimus for the treatment of fistulas in patients with Crohn’s disease: a randomized, placebocontrolled trial. Gastroenterology 125:380-388 Ruffolo C, Citton M, Scarpa M et al (2010) Perianal Crohn’s disease: is there something new? World J Gastroenterol 17:1939-46 Van Assche G, Dignass A, Reinisch W et al (2010) The second European evidence-based Consensus on the diagnosis and management of Crohn’s disease: special situations.

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