Pediatric Radiology

, Volume 37, Issue 2, pp 201–208

Pelvic MRI in children with Crohn disease and suspected perianal involvement

Authors

    • Department of RadiologyMassachusetts General Hospital
    • Department of RadiologyFND 216
  • John Kim
    • Department of RadiologyMassachusetts General Hospital
  • Sudha Anupindi
    • Department of RadiologyChildren’s Hospital of Philadelphia
  • J. Aubrey Katz
    • Department of Pediatric GastroenterologyMassachusetts General Hospital
  • Katie Nimkin
    • Department of RadiologyMassachusetts General Hospital
Pictorial Essay

DOI: 10.1007/s00247-006-0372-2

Cite this article as:
Essary, B., Kim, J., Anupindi, S. et al. Pediatr Radiol (2007) 37: 201. doi:10.1007/s00247-006-0372-2

Abstract

MRI is an important imaging tool in evaluation of adult and pediatric patients with Crohn disease. Pelvic MRI, in particular, has become the method of choice to evaluate for perianal fistulas and associated complications of Crohn disease. MRI can define the extent and location of perianal fistulas and abscesses, as well as provide critical information for operative management. In this pictorial essay, we describe useful MRI techniques for evaluation of perianal complications in pediatric patients with Crohn disease. We review pertinent anatomy and illustrate typical examples of perianal fistulas with and without abscess. We show one case of clinically suspected perianal fistula that was actually a pilonidal sinus.

Keywords

ChildrenMRICrohn diseasePerianal fistula

Copyright information

© Springer-Verlag 2006