Pediatric Radiology

, Volume 37, Issue 2, pp 201–208

Pelvic MRI in children with Crohn disease and suspected perianal involvement

  • Brendan Essary
  • John Kim
  • Sudha Anupindi
  • J. Aubrey Katz
  • Katie Nimkin
Pictorial Essay

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

Children MRI Crohn disease Perianal fistula 

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Copyright information

© Springer-Verlag 2006

Authors and Affiliations

  • Brendan Essary
    • 1
    • 4
  • John Kim
    • 1
  • Sudha Anupindi
    • 2
  • J. Aubrey Katz
    • 3
  • Katie Nimkin
    • 1
  1. 1.Department of RadiologyMassachusetts General HospitalBostonUSA
  2. 2.Department of RadiologyChildren’s Hospital of PhiladelphiaPhiladelphiaUSA
  3. 3.Department of Pediatric GastroenterologyMassachusetts General HospitalBostonUSA
  4. 4.Department of RadiologyFND 216BostonUSA

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