Magnetic resonance fistulography for the demonstration of anovaginal fistula: an alternative imaging technique?
Anovaginal fistulae (AVF) are frequently seen in patients with inflammatory bowel disease, especially in Crohn disease with active colonic inflammation. Herein, we report a 21-year-old woman with Crohn disease suffering from vaginal discharge and anal pain. Although clinical presentation was very suggestive of AVF, physical examination and colonoscopy were inconclusive. We used an alternative technique and performed magnetic resonance fistulography by applying rectal contrast for the demonstration of AVF.
Ergen
Fatma Bilge
FB
Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey. bergen@hacettepe.edu.tr
Arslan
E Bengi
EB
Kerimoglu
Ulku
U
Akata
Deniz
D
D000328:Adult; D001003:Anal Canal / Q000473:pathology / Q000601:surgery; D001004:Anus Diseases / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D003287:Contrast Media / Q000008:administration & dosage; D003424:Crohn Disease / Q000150:complications; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007089:Image Enhancement / Q000379:methods; D008279:Magnetic Resonance Imaging / Q000379:methods*; D008536:Meglumine; D009942:Organometallic Compounds; D010146:Pain / Q000209:etiology; D014621:Vagina / Q000473:pathology / Q000601:surgery; D019522:Vaginal Discharge / Q000209:etiology; D014624:Vaginal Fistula / Q000150:complications / Q000175:diagnosis* / Q000601:surgery
D003287:Contrast Media; D009942:Organometallic Compounds; D008536:Meglumine; C072417:gadoterate meglumine