The present paper offers an evidence of the clinical efficacy of the technique and suggests the potential advantage of inverting the current generally accepted diagnostic algorithm which recommends performing EAUS as the first imaging modality. The surgery may be performed in more than one stage if a large amount of muscle must be cut. In other projects Wikimedia Commons. In some cases, fibrin glue, made from plasma protein, may be used to seal up and heal a fistula as opposed to cutting it open. The specialist will ask about your symptoms and your medical history. Management of Crohn's disease in adults.
This was actually found and successfully drained via the percutaneous route resulting in apparent healing.
Anal fistula - Pictures and Images
Currently, one year after the onset of symptoms and still occasional discharge, the surgeon eventually decided to refer him to the radiology department for MR imaging examination Figure 6. Recently, however, the behavior of many young surgeons hs been rapidly changing and no longer it is observed such a delay see case 1 from the onset of symptoms to the request of the MR imaging study. Some people will have an active infection when they present with a fistula, and this requires clearing up before definitive treatment can be decided. From Wikipedia, the free encyclopedia. The prime aim of using MRI instead of endosonography, which has been proved to be a less accurate and less widely available technique, is to give evidence of presence and site of any collection and primary track, distance from the anal verge to fistula, position of internal and external openings and subcutaneous or supralevator extensions. Advertising on our site helps support our mission. Clinical Team Madhulika Varma, M.