Detection of perianal horseshoe fistula with endoanal ultrasound: Video presentation Endoanal ultrasonografi ile perianal atnalı fistül tespiti: Video sunum
Turkish Journal of Colorectal Disease, cilt.31, sa.4, ss.343-344, 2021 (Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 31 Sayı: 4
- Basım Tarihi: 2021
- Doi Numarası: 10.4274/tjcd.galenos.2021.2021-1-13
- Dergi Adı: Turkish Journal of Colorectal Disease
- Derginin Tarandığı İndeksler: Scopus, TR DİZİN (ULAKBİM)
- Sayfa Sayıları: ss.343-344
- Anahtar Kelimeler: Complex perianal fistula, Endoanal USG, Horseshoe fistula
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
Today, the horseshoe fistulas are counted among the most difficultly managed perianal fistula types. This entity, which is regarded as one of a complex fistula type, affects the ischioanal fossa. Its treatment is more costly and the optimal surgical intervention required is more complex. Since it can affect more than one anatomical structure, chance of treatment failure, perioperative and postoperative complication rates and recurrence rates increase. Especially insufficient preoperative assessment leads in most cases to devastating outcomes for both the physician and the patient. Horseshoe fistulas can be diagnosed easily with magnetic resonance imaging, which is a common modality used in evaluating perianal fistulas. However, due to the high cost and dependance on an experienced radiologist for interpretation in common practice, endoanal ultrasonography (USG) has started to gain popularity. Ability of assessing the perianal anatomy and especially the sphincter complex properly just prior to surgery in operating theatre comprise the most prominent advantages of endoanal USG. In this video presentation, we aimed to show the endoanal USG images of a horseshoe fistula tract following the injection of hydrogen peroxid solution with a branule in the perianal fistula tract of a patient with a history of Crohn’s disease.