EURORAD ESR

Case 12634

Rapidly progressive perianal Crohn's disease

Author(s)
David Neves Silva 1; Sara Serpa 1; João Lopes 2; Ângela Marques 3.

1Hospital Divino Espirito Santo, Ponta Delgada, Portugal; Email:nevessilva@gmail.com
2Hospital de Santa Marta - Centro Hospitalar de Lisboa Central, Lisboa, Portugal;
3Hospital de Santo António dos Capuchos - Centro Hospitalar de Lisboa Central, Lisboa, Portugal.
 
Patient
male, 31 year(s)
 
 
  • Figure 1
    First MRI

    Coronal contrast-enhanced MR image shows enhancing fistulous tracts (yellow arrows).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 2
    First MRI

    Sagittal contrast-enhanced MR image shows intense rectal enhancement, interpreted as proctitis. The presacral space was free of collections.

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 3
    Second MRI

    Sagittal T2W MR image shows fistulas (yellow arrow) and collections not present 3 months before (blue arrow - see figure 3).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 4
    Second MRI

    Axial contrast-enhanced MRI image shows a fistulous tract (yellow arrow) collections around the rectum (blue arrows).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 5
    Second MRI

    Axial contrast-enhanced MRI image shows collections around the rectum (blue arrows).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
  • Figure 6
    Second MRI

    Coronal contrast-enhanced MRI image shows fistulous tracts (yellow arrows) and abscess cavities (blue arrows).

     
    Area of Interest: Pelvis; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Fistula;
     
     
Coronal contrast-enhanced MR image shows enhancing fistulous tracts (yellow arrows).
 
Sagittal contrast-enhanced MR image shows intense rectal enhancement, interpreted as proctitis. The presacral space was free of collections.
 
Sagittal T2W MR image shows fistulas (yellow arrow) and collections not present 3 months before (blue arrow - see figure 3).
 
Axial contrast-enhanced MRI image shows a fistulous tract (yellow arrow) collections around the rectum (blue arrows).
 
Axial contrast-enhanced MRI image shows collections around the rectum (blue arrows).
 
Coronal contrast-enhanced MRI image shows fistulous tracts (yellow arrows) and abscess cavities (blue arrows).
 
 
 
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