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Metrics details. Fistula in ano is one of the common anorectal disorders which have a tendency to recur specially in complex cases usually due to missed or undetected sepsis at the time of examination or surgery. A correct identification of the primary source of crypt infection along with a complete understanding of the anatomical course of primary and secondary tracks and abscesses is a prerequisite for the successful management of fistula. Preoperative evaluation of fistula in ano using radio-imaging techniques provides a handy insight of fistula anatomy and helps in planning the appropriate treatment strategy. The objective of this article is to review the role of different radio-imaging techniques in the diagnosis and evaluation of fistula in ano along with their advantages and disadvantages over one another.
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Prone cross-table lateral view: an alternative to the invertogram in imperforate anus

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MRI Scan of the Rectum - InsideRadiology

A barium enema is a type of X-ray imaging test that allows doctors to examine your lower intestinal tract. It involves delivering a contrast solution that contains the metallic element barium into your rectum while a technician takes X-ray images of the area. The barium solution will be delivered using an enema — a process in which your doctor pushes a liquid into your rectum through your anus. The barium solution helps to improve the quality of the X-ray images by highlighting certain areas of tissue. The X-ray used in this procedure is known as fluoroscopy. It allows the radiologist to see your internal organs in motion by tracking the flow of the barium solution through your intestinal tract.
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Barium Enema

Patient Information. Historical Perspective. Differentiating Anal fistula from other Diseases.
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Magnetic resonance imaging MRI uses a very strong magnet, and radio waves, to make detailed pictures of organs inside your body. MRI is considered to give the best clearest images or pictures of the tissues around the rectum, for identifying the extent of any disease. It makes very accurate pictures of diseases involving the rectum, which is the lower part of the large bowel, near the anus back passage.
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