Contribution of pelvic MRI in the diagnosis and management of Ano-perineal Crohn's disease.

Mariam Konso *, Hicham El Bacha, Salma Mechhor, Manal Cherkaoui Malki, Nadia Benzzoubeir and Ikram Errabih

Department of Hepato-Gastroenterology and Proctology “Medicine B”, Ibn Sina Hospital, University Mohamed V, Rabat, Morocco.
 
Research Article
International Journal of Science and Research Archive, 2024, 12(01), 2643–2647
Article DOI: 10.30574/ijsra.2024.12.1.1067
Publication history: 
Received on 29 April 2024; revised on 14 June 2024; accepted on 17 June 2024
 
Abstract: 
Anoperineal lesions (APL) in Crohn's disease (CD) are frequent, inaugural in 5-30% of cases, often complex, recurrent and difficult to treat. Their appearance represents an important phase in the evolution of Crohn's disease (CD), as they have a major impact on continence, sexuality and quality of life. The presence of anoperineal lesions in Crohn's disease is prognostic.
Magnetic resonance imaging (MRI) is an important tool for assessing anoperineal lesions (APL) in patients with CD, and scores have been developed for objective analysis. We report here our experience with a series of 56 patients, followed for CD with APL, reviewing the data in the literature.
 
Keywords: 
Ano-perineal crohn’s disease; Anal fistulas; Pelvic MRI; Drainage; Infliximab.
 
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