title: Magnetic resonance fistulography for the demonstration of anovaginal fistula: an alternative imaging technique?
abstract: 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.
authors.affiliation: Department of Radiology, Hacettepe University School of Medicine, Ankara, Turkey. bergen@hacettepe.edu.tr
authors.forename: Fatma Bilge
authors.initials: FB
authors.lastname: Ergen
authors.forename: E Bengi
authors.initials: EB
authors.lastname: Arslan
authors.forename: Ulku
authors.initials: U
authors.lastname: Kerimoglu
authors.forename: Deniz
authors.initials: D
authors.lastname: Akata
mesh_terms: 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
chemical_list: D003287:Contrast Media; D009942:Organometallic Compounds; D008536:Meglumine; C072417:gadoterate meglumine