EURORAD ESR

Case 2723

An MRI based diagnosis of perianal complications in a case of Crohn’s disease

Author(s)
Iannaccone R, Celestre M, Marin D, Pasqualini V, Filpo M
 
Patient
male, 41 year(s)
 
 
  • Figure 1
    HASTE T2-weighted MRI obtained on a coronal plane

    The image demonstrating a moderate wall thickening of the terminal ileum, extending 20 cm (black arrow) and determining stenosis of the lumen and distension of the previous ileal loop (white arrowhead).

     
    Area of Interest: unknown; Imaging Technique: HASTE T2-weighted MRI image obtained on coronal plane.;
     
     
  • Figure 2
    An axial TSE T2 -weighted MRI

    An image showsing a trans-sphincteric fistula: some branches run through the maximus gluteus muscle (white arrow) and are in connection with a subcutaneous abscess (black arrow). In the perianal connective tissue the...

     
    Area of Interest: unknown; Imaging Technique: Axial TSE T2 -weighted MRI image.;
     
     
  • Figure 3
    True-FISP MRI image obtained on coronal plane.

    An image showing a moderate wall thickening of the terminal ileum, extending 20 cm and determining stenosis of the lumen and distension of the previous ileal loop.

     
    Area of Interest: unknown; Imaging Technique: True-FISP MRI image obtained on coronal plane.;
     
     
  • Figure 4
    Coronal FLASH T1-weighted MR image obtained after Gadolinium injection of mdc.

    An image showing an intense enhancement of the pathologic bowel loop, a typical finding of active inflammation (white arrow).

     
    Area of Interest: unknown; Imaging Technique: Coronal FLASH T1-weighted MR image obtained after Gadolinium injection of mdc.;
     
     
The image demonstrating a moderate wall thickening of the terminal ileum, extending 20 cm (black arrow) and determining stenosis of the lumen and distension of the previous ileal loop (white arrowhead).
 
An image showsing a trans-sphincteric fistula: some branches run through the maximus gluteus muscle (white arrow) and are in connection with a subcutaneous abscess (black arrow). In the perianal connective tissue the presence of some hypointense fistula tracks give evidence of fibrotic results.
 
An image showing a moderate wall thickening of the terminal ileum, extending 20 cm and determining stenosis of the lumen and distension of the previous ileal loop.
 
An image showing an intense enhancement of the pathologic bowel loop, a typical finding of active inflammation (white arrow).
 
 
 
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