Journal of Ultrasound

, Volume 18, Issue 1, pp 19–35

Imaging techniques and combined medical and surgical treatment of perianal Crohn’s disease

  • F. Botti
  • A. Losco
  • C. Viganò
  • B. Oreggia
  • M. Prati
  • E. Contessini Avesani
Review Article


Crohn’s disease is a chronic inflammatory disease which may involve any segment of the gastrointestinal tract, most frequently the terminal ileum, the large intestine, and the perianal region. The symptoms of perianal Crohn’s disease include skin disorders, hemorrhoids, anal ulcers, anorectal stenosis, perianal abscesses and fistulas, rectovaginal fistulas and carcinoma of the perianal region. The perianal manifestations of Crohn’s disease cause great discomfort to the patient and are among the most difficult aspects to treat. Management of perianal disease requires a combination of different imaging modalities and a close cooperation between gastroenterologists and dedicated surgeons.


Crohn’s disease Perianal Crohn’s disease Diagnostic imaging in Crohn’s disease 


La malattia di Crohn è una malattia infiammatoria cronica che può coinvolgere qualsiasi segmento del tratto gastroenterico, più frequentemente l’ileo terminale, il grosso intestino e la regione perianale. Le manifestazioni della malattia di Crohn perianale comprendono: alterazioni cutanee, emorroidi, ulcere anali, stenosi ano-rettali, ascessi e fistole perianali, fistole retto-vaginali e cancro della regione perianale. Le manifestazioni perianali della malattia sono una delle principali fonti di disagio per il paziente ed uno degli aspetti della malattia di Crohn più difficili da trattare. La gestione della malattia perianale richiede un’integrazione fra differenti metodiche di imaging e una stretta collaborazione fra gastroenterologi e chirurghi dedicati.


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Copyright information

© Società Italiana di Ultrasonologia in Medicina e Biologia (SIUMB) 2013

Authors and Affiliations

  • F. Botti
    • 1
    • 2
  • A. Losco
    • 3
  • C. Viganò
    • 4
  • B. Oreggia
    • 2
  • M. Prati
    • 2
  • E. Contessini Avesani
    • 1
    • 2
  1. 1.Dipartimento di Fisiopatologia Medico Chirurgica e dei TrapiantiUniversità degli Studi di Milano, Fondazione IRCCS Cà Granda Ospedale Maggiore PoliclinicoMilanItaly
  2. 2.UOC Chirurgia Generale e d’UrgenzaFondazione IRCCS Cà Granda Ospedale Maggiore Policlinico di MilanoMilanItaly
  3. 3.UO Medicina VI Epatologia e GastroenterologiaA.O. San PaoloMilanItaly
  4. 4.UO Medicina InternaOspedale S. Famiglia FatebenefratelliErbaItaly

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