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Anal fistula x ray

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Manpreet Kaur, MD [2]

Overview

Fistulography is used to diagnose anal fistula in the past but is replaced by MRI nowadays. This is used to find out the anatomy of fistulas.

X Ray

  • Fistulography is used to diagnose anal fistula in the past.
  • Fistulography is painful and invasive procedure so it is replaced by MRI nowadays.
  • This is used to find out the anatomy of fistulas.

Procedure:

  • A fine cannula is catheterized through the external opening, a water-soluble contrast agent is injected to find out the fistulous track and after that X-ray is taken.

Drawbacks of fistulography:[1][2]

  • It is very difficult to assess fistula with multiple tracks due to the filling defect with contrast material.
  • Fistulography is not used to visualize the anal sphincter.
Perianal fistula source: Dr Mohamed Hossam el Deen,[3]

References

  1. [+++https://radiopaedia.org/articles/perianal-fistula “Perianal fistula | Radiology Reference Article | Radiopaedia.org”] Check |url= value (help).
  2. Halligan S, Stoker J (2006). “Imaging of fistula in ano”. Radiology. 239 (1): 18–33. doi:10.1148/radiol.2391041043. PMID 16567481.
  3. https://radiopaedia.org/cases/46767“>rID: 46767

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