MR Imaging of Perianal Fistulas

Kartik S Jhaveri; Seng Thipphavong; Lijun Guo; Mukesh G Harisinghani

doi:10.1016/j.rcl.2018.04.005

MR Imaging of Perianal Fistulas

Radiol Clin North Am. 2018 Sep;56(5):775-789. doi: 10.1016/j.rcl.2018.04.005. Epub 2018 Jul 11.

Authors

Kartik S Jhaveri¹, Seng Thipphavong², Lijun Guo³, Mukesh G Harisinghani⁴

Affiliations

¹ Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, Women's College Hospital, University of Toronto, 610 University Avenue, 3-957, Toronto, ON M5G 2M9, Canada. Electronic address: kartik.jhaveri@uhn.ca.
² Joint Department of Medical Imaging, University Health Network, Mount Sinai Hospital, Women's College Hospital, University of Toronto, 610 University Avenue, 3-957, Toronto, ON M5G 2M9, Canada.
³ Joint Department of Medical Imaging, University Health Network, 700 University Avenue, 2-84, Toronto, Ontario M5G 2M9, Canada.
⁴ Department of Abdominal Imaging, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA.

PMID: 30119773
DOI: 10.1016/j.rcl.2018.04.005

Abstract

In this article, we begin with an introduction of the perianal region anatomy, then review the definition, etiology, epidemiology, and 2 major classification systems of perianal fistulas. The role of MR imaging for assessment of perianal fistulas is mainly discussed. Finally, the medical and surgical treatment principles are reviewed.

Keywords: Classification; MR imaging; Perianal fistulas; Treatment.

Publication types

Review

MeSH terms

Anal Canal / diagnostic imaging*
Fistula / diagnostic imaging*
Humans
Magnetic Resonance Imaging / methods*
Rectal Diseases / diagnostic imaging*
Rectum / diagnostic imaging*