Skip to main content
Top
Published in: Abdominal Radiology 5/2019

01-05-2019 | Crohn's Disease | Perspective

Perianal sepsis: surgical perspective and practical MRI reporting for radiologists

Authors: Edwin Ho, Matthew J. F. X. Rickard, Michael Suen, Anil Keshava, Charlotte Kwik, Yang-Yi Ong, Jessica Yang

Published in: Abdominal Radiology | Issue 5/2019

Login to get access

Abstract

This article describes the development of a structured MRI reporting template and diagrammatic worksheet for perianal sepsis through collaboration between radiologists and colorectal surgeons at our institution, and the rationale behind each component of the worksheet. Benefits of this reporting worksheet include optimizing communication of key imaging findings that have a real impact on patient management, less time spent on reporting the study, and easier comparison between studies. We illustrate the utility of the report template with case studies. We summarize the current surgical approaches to perianal sepsis to help radiologists focus on reporting the findings relevant to surgical planning.
Literature
3.
go back to reference Eisenhammer S (1956) The internal anal sphincter and the anorectal abscess. Surg Gynecol Obstet 103 (4):501-506PubMed Eisenhammer S (1956) The internal anal sphincter and the anorectal abscess. Surg Gynecol Obstet 103 (4):501-506PubMed
6.
go back to reference Sainio P (1984) Fistula-in-ano in a defined population. Incidence and epidemiological aspects. Ann Chir Gynaecol 73 (4):219-224PubMed Sainio P (1984) Fistula-in-ano in a defined population. Incidence and epidemiological aspects. Ann Chir Gynaecol 73 (4):219-224PubMed
8.
go back to reference Hellers G, Bergstrand O, Ewerth S, Holmstrom B (1980) Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease. Gut 21 (6):525-527CrossRefPubMedPubMedCentral Hellers G, Bergstrand O, Ewerth S, Holmstrom B (1980) Occurrence and outcome after primary treatment of anal fistulae in Crohn's disease. Gut 21 (6):525-527CrossRefPubMedPubMedCentral
9.
go back to reference Schwartz DA, Loftus EV, Jr., Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ (2002) The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota. Gastroenterology 122 (4):875-880CrossRefPubMed Schwartz DA, Loftus EV, Jr., Tremaine WJ, Panaccione R, Harmsen WS, Zinsmeister AR, Sandborn WJ (2002) The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota. Gastroenterology 122 (4):875-880CrossRefPubMed
21.
23.
go back to reference Pariente B, Mary JY, Danese S, Chowers Y, De Cruz P, D'Haens G, Loftus EV, Jr., Louis E, Panes J, Scholmerich J, Schreiber S, Vecchi M, Branche J, Bruining D, Fiorino G, Herzog M, Kamm MA, Klein A, Lewin M, Meunier P, Ordas I, Strauch U, Tontini GE, Zagdanski AM, Bonifacio C, Rimola J, Nachury M, Leroy C, Sandborn W, Colombel JF, Cosnes J (2015) Development of the Lemann index to assess digestive tract damage in patients with Crohn's disease. Gastroenterology 148 (1):52-63. https://doi.org/10.1053/j.gastro.2014.09.015 CrossRefPubMed Pariente B, Mary JY, Danese S, Chowers Y, De Cruz P, D'Haens G, Loftus EV, Jr., Louis E, Panes J, Scholmerich J, Schreiber S, Vecchi M, Branche J, Bruining D, Fiorino G, Herzog M, Kamm MA, Klein A, Lewin M, Meunier P, Ordas I, Strauch U, Tontini GE, Zagdanski AM, Bonifacio C, Rimola J, Nachury M, Leroy C, Sandborn W, Colombel JF, Cosnes J (2015) Development of the Lemann index to assess digestive tract damage in patients with Crohn's disease. Gastroenterology 148 (1):52-63. https://​doi.​org/​10.​1053/​j.​gastro.​2014.​09.​015 CrossRefPubMed
24.
go back to reference Irvine EJ (1995) Usual therapy improves perianal Crohn's disease as measured by a new disease activity index. McMaster IBD Study Group. J Clin Gastroenterol 20 (1):27-32CrossRefPubMed Irvine EJ (1995) Usual therapy improves perianal Crohn's disease as measured by a new disease activity index. McMaster IBD Study Group. J Clin Gastroenterol 20 (1):27-32CrossRefPubMed
25.
go back to reference Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63 (1):1-12CrossRefPubMed Parks AG, Gordon PH, Hardcastle JD (1976) A classification of fistula-in-ano. Br J Surg 63 (1):1-12CrossRefPubMed
26.
28.
go back to reference Abcarian H (2014) Anal fistula : principles and management. Springer, New YorkCrossRef Abcarian H (2014) Anal fistula : principles and management. Springer, New YorkCrossRef
29.
go back to reference Hussain SM, Outwater EK, Joekes EC, Ulrich F, Delemarre HB, Bemelman WA, Li X, Mitchell DG (2000) Clinical and MR imaging features of cryptoglandular and Crohn's fistulas and abscesses. Abdom Imaging 25 (1):67-74CrossRefPubMed Hussain SM, Outwater EK, Joekes EC, Ulrich F, Delemarre HB, Bemelman WA, Li X, Mitchell DG (2000) Clinical and MR imaging features of cryptoglandular and Crohn's fistulas and abscesses. Abdom Imaging 25 (1):67-74CrossRefPubMed
33.
go back to reference Cuiñas K, Williams J (2015) PTU-196 Goodsall’s rule – past its sell-by date? Gut 64:A149-A149CrossRef Cuiñas K, Williams J (2015) PTU-196 Goodsall’s rule – past its sell-by date? Gut 64:A149-A149CrossRef
34.
go back to reference Cirocco WC, Reilly JC (1992) Challenging the predictive accuracy of Goodsall's rule for anal fistulas. Dis Colon Rectum 35 (6):537-542CrossRefPubMed Cirocco WC, Reilly JC (1992) Challenging the predictive accuracy of Goodsall's rule for anal fistulas. Dis Colon Rectum 35 (6):537-542CrossRefPubMed
35.
go back to reference de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI, Marco Sanz AG, Paradela MM, Moreno EF (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics 32 (1):175-194. https://doi.org/10.1148/rg.321115040 de Miguel Criado J, del Salto LG, Rivas PF, del Hoyo LF, Velasco LG, de las Vacas MI, Marco Sanz AG, Paradela MM, Moreno EF (2012) MR imaging evaluation of perianal fistulas: spectrum of imaging features. Radiographics 32 (1):175-194. https://​doi.​org/​10.​1148/​rg.​321115040
Metadata
Title
Perianal sepsis: surgical perspective and practical MRI reporting for radiologists
Authors
Edwin Ho
Matthew J. F. X. Rickard
Michael Suen
Anil Keshava
Charlotte Kwik
Yang-Yi Ong
Jessica Yang
Publication date
01-05-2019
Publisher
Springer US
Published in
Abdominal Radiology / Issue 5/2019
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-019-01920-9

Other articles of this Issue 5/2019

Abdominal Radiology 5/2019 Go to the issue
Obesity Clinical Trial Summary

At a glance: The STEP trials

A round-up of the STEP phase 3 clinical trials evaluating semaglutide for weight loss in people with overweight or obesity.

Developed by: Springer Medicine

Highlights from the ACC 2024 Congress

Year in Review: Pediatric cardiology

Watch Dr. Anne Marie Valente present the last year's highlights in pediatric and congenital heart disease in the official ACC.24 Year in Review session.

Year in Review: Pulmonary vascular disease

The last year's highlights in pulmonary vascular disease are presented by Dr. Jane Leopold in this official video from ACC.24.

Year in Review: Valvular heart disease

Watch Prof. William Zoghbi present the last year's highlights in valvular heart disease from the official ACC.24 Year in Review session.

Year in Review: Heart failure and cardiomyopathies

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.