Comparative Evaluation of MR Fistulogram and X-ray Fistulography Versus Intra-operative Findings in the Assessment of Fistula in Ano
Authors
##plugins.themes.bootstrap3.article.sidebar##
##plugins.themes.bootstrap3.article.main##
Abstract
Objective: To Compare and Evaluate MR Fistulogram and X-ray Fistulography Versus Intra-operative Findings of Fistula in Ano. Design: Prospective observational study. Subjects/Patients: 56. Methods: A prospective observational study was conducted on 56 patients with clinically diagnosed fistula in ano at a tertiary care hospital. All patients underwent both MR fistulogram and X-ray fistulography prior to surgical intervention. The imaging findings were compared intraoperatively for accuracy in detecting primary and secondary tracts, and statistical significance was analyzed. Results: MR fistulogram demonstrated a high concordance rate (86.78%) with intraoperative findings, accurately identifying 49 tracts. In comparison, X-ray fistulography detected 45 tracts. Conclusion: MR fistulogram proves to be a superior diagnostic tool for evaluating fistula in ano compared to X-ray fistulography, providing greater anatomical detail, better detection of multiple tracts, and higher correlation with intraoperative findings.
##plugins.themes.bootstrap3.article.details##
Copyright (c) 2025 Sulove Singhal, Milind V. Patil, Shailesh Patil, Adeesh Jain
This work is licensed under a Creative Commons Attribution 4.0 International License.
Creative Commons License All articles published in Annals of Medicine and Medical Sciences are licensed under a Creative Commons Attribution 4.0 International License.
[1] PARKS AG. Pathogenesis and treatment of fistuila-in-ano. Br Med J. 1961 Feb 18;1(5224):463-9. [PMC free article] [PubMed]
[2] Hämäläinen KP, Sainio AP. Incidence of fistulas after drainage of acute anorectal abscesses. Dis Colon Rectum. 1998 Nov;41(11):1357-61; discussion 1361-2. [PubMed]
[3] Scoma JA, Salvati EP, Rubin RJ. Incidence of fistulas subsequent to anal abscesses. Dis Colon Rectum. 1974 May-Jun;17(3):357-9. [PubMed]
[4] Sainio P. Fistula-in-ano in a defined population. Incidence and epidemiological aspects. Ann Chir Gynaecol. 1984;73(4):219-24. [PubMed]