Trans-Fistula Contrast-Enhanced Ultrasound in Diagnosing a Complex Anal-Bartholin-Perineal Fistula of Crohn's Disease: A Case Report.

IF 1.4 4区医学 Q3 ACOUSTICS

Journal of Clinical Ultrasound Pub Date : 2025-10-16 DOI:10.1002/jcu.70111

Dilimire Abuliezi, Yuan Luo, Qin Huang, Yin Yang, Hua Zhuang

引用次数: 0

Abstract

This case report presents an uncommon presentation of Crohn's disease (CD) complicated by an anal-Bartholin-perineal fistula. Notably, ultrasound was the initial imaging modality to demonstrate suspicious fistulous tract features in this case. Definitively, trans-fistula contrast-enhanced ultrasound (TF-CEUS) clearly visualized the fistula, providing real-time dynamic architectural details that were critical for diagnosis. TF-CEUS emerged as a valuable diagnostic adjunct in this case, offering novel insights into evaluating complex perianal fistulous disorders in CD, particularly when conventional imaging modalities like MRI yield inconclusive results.

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经瘘管超声造影诊断克罗恩病复杂肛门-巴托林-会阴瘘1例

本病例报告提出了一个罕见的克罗恩病（CD）并发肛门- bartholin -会阴瘘。值得注意的是，在本病例中，超声是显示可疑瘘管特征的最初成像方式。最后，经瘘管造影增强超声（TF-CEUS）清晰地显示了瘘管，提供了对诊断至关重要的实时动态结构细节。在这种情况下，TF-CEUS成为一种有价值的诊断辅助手段，为评估CD患者的复杂肛周瘘管疾病提供了新的见解，特别是当MRI等传统成像方式无法得出确定结果时。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Ultrasound 医学-核医学

CiteScore

1.90

自引率

0.00%

发文量

248

审稿时长

6 months

期刊介绍： The Journal of Clinical Ultrasound (JCU) is an international journal dedicated to the worldwide dissemination of scientific information on diagnostic and therapeutic applications of medical sonography. The scope of the journal includes--but is not limited to--the following areas: sonography of the gastrointestinal tract, genitourinary tract, vascular system, nervous system, head and neck, chest, breast, musculoskeletal system, and other superficial structures; Doppler applications; obstetric and pediatric applications; and interventional sonography. Studies comparing sonography with other imaging modalities are encouraged, as are studies evaluating the economic impact of sonography. Also within the journal''s scope are innovations and improvements in instrumentation and examination techniques and the use of contrast agents. JCU publishes original research articles, case reports, pictorial essays, technical notes, and letters to the editor. The journal is also dedicated to being an educational resource for its readers, through the publication of review articles and various scientific contributions from members of the editorial board and other world-renowned experts in sonography.