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Anorectal Ultrasound Surgery Chapter

This section summarises all the information related to the anorectal ultrasound surgery field, and available under www.u-surgery.com

It is composed of the main bibliography, slides and presentations, and clinical cases. For getting access to the pictures gallery and the video and multimedia gallery, please follow the links directly on the left menu and use the "Browse by category" functionality.


Ano-rectal

Clinical Case 20081123 - General overview


  • Patient: Female, 22 years old.
  • Clinical symptoms: Referred to the hospital due to abdominal pain, diarrhoea and fever, started 1 month ago.
  • Normal abdominal examination except for some tenderness in righ low quadrant.
  • Abdominal examination was normal, except for some tenderness in the RL quadrant.

 

Ileitis

 

Ultrasound examination

Lineal high frecuency probe.  Near the ascendent colon and anterior to illiac artery a tubular structure is seen. It is a bowel loop with concentric wall thickness higher than 4 mm. No peristalsis is seen and the lumen is displayed uncommonly narrow.


Click image to open!
Click image to open!
 
Evaluation clinical cases

Clinical Case 2008-10-17

 

What would you do in this case?

Please, examine carefully the following video and  try to make yor opinion about the diagnosis and the treatment of this clinical case. You can comment your opinion below.
 
Evaluation clinical cases

Clinical Case 20081003 - General overview 


  • Patient: Male, 36 year old.
  • Clinical symptoms: ileal J-pouch-anal anastomosis alter total colectomy for UC, two years ago.
  • 1 month ago, surgical drainage of a perianal abscess.
  • External opening at 3 o’clock, 3 cm away from anal margin.

 

Equipment: BK Medical

 

First, check the following video and perform your diagnosis


Now, check the answer video

Success?

 
Ano-rectal

Clinical Case 20080102 (bis) - General overview


  • Patient: Male, 36 years old.
  • Clinical symptoms: light anal irritation and discharge of bloody drain. Patient had an anal abscess ten months ago.
  • Clinical inspection of the anus, and endorectal ultrasound were performed.

 

Abbreviations: EAI: Internal anal sphincter; EAE: External anal sphincter.

 

Endorectal US

An introduction of contrast agent was done, as a method to enhance fistula.  The tract begins one and a half centimetre outside the anal opening and crosses the external sphincter muscle an ends the space between the internal and external muscle (see image 1). The fistula track on the left lower quadrant can be seen.


Click image to open!

 

Diagnosis and treatment

Diagnosis: intersphincteric fistula.  
Treatment: fistulectomy.


 
 
Evaluation clinical cases

Clinical Case 20080905 - General overview 


  • Patient: Female, 42 year old.
  • Clinical symptoms: Anal pain since hemorrhoidectomy (6 months ago)
  • Normal perineal and anal canal examination.
  • No external openings

 

Equipment: BK Medical

 

First, check the following video and perform your diagnosis


Now, check the answer video

Success?

 
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