Abstract
In this study of 14 patients with anorectal anomalies CT and MRI were employed for preoperative assessment. The use of a pressure enhanced water soluble enema via the colostomy proved to be an extremely efficient method for showing a fistula. MRI studies were enhanced by the use of vaseline oil and in one case this technique was used prior to surgery to provide important information by injecting through a perineal fistula. CT and axial MRI proved to be more valuable than sagittal MRI which is only useful for the length of the atretic segment. The authors consider that a combined approach using pressure enhanced water soluble enema and MRI will provide the most valuable preoperative information to plan a successful operative approach and enable an accurate prognostic evaluation of continence in these difficult and complex patients.
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Hasse W (1976) Associated malformation with anal and rectal atresiae. Progr Pediatr Surg 9: 99
Tunnel WP, Austin JC, Barnes PD, Reynolds A (1987) Neuroradiologic evaluation of sacral abnormalities in imperforate anus complex. J Pediatr Surg 22: 58
Oppenheimer DA, Carrol BA, Shochat SJ (1983) Sonography of imperforate anus. Radiology 148: 127
Ikawa H, Yokoyama J, Sanbonmatsu T et al (1985) The use of computerized tomography to evaluate anorectal anomalies. J Pediatr Surg 20: 640
Taccone A, Fondelli MP, Martucciello G, Dodero P (1989) Tomografia computerizzata e malformazioni anorettali. Valutazione preoperatoria. Radiol Med 77: 356
Martucciello G, Taccone A, Fondelli MP, Moran Penco JM, Dodero P (1990) Tomografia axial computerizada en las malformaciones anorectales: una indication pre y postoperatoria? Cir Ped 3, 4: 173
Sato Y, Pringle KC, Bergman RA, Yuh WTC et al (1988) Congenital anorectal anomalies: MR imaging. Radiology 168: 157
Panuel M, Guys JM, Devred P, Faure F, Monfort G (1988) Imagerie par resonance magnétique des malformations ano-rectales hautes. Chir Pediatr 29: 24
Pringle KC, Sato Y, Soper RT (1987) Magnetic resonance imaging as an adjunct to planning an anorectal pull-trough. J Pediatr Surg 22: 571
Taccone A, Martucciello G, Fondelli P, Dodero P, Ghiorzi M (1989) CT of anorectal malformation—a postoperative evaluation. Pediatr Radiol 19: 375
Black CT, Sherman JO (1989) The association of low imperforate anus and Down's syndrome. J Pediatr Surg 24: 92
De Vries PA, Peña A (1982) Posterior sagittal anorectoplasty. J Pediatr Surg 17: 638
Peña A, De Vries PA (1982) Posterior sagittal anorectoplasty: important technical consideration. J Pediatr Surg 17: 796
Sachs TM, Applebaum H, Touran T et al (1990) Use of MRI in evaluation of anorectal anomalies. J Pediatr Surg 25: 817
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Taccone, A., Martucciello, G., Dodero, P. et al. New concepts in preoperative imaging of anorectal malformation. Pediatr Radiol 22, 196–199 (1992). https://doi.org/10.1007/BF02012494
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DOI: https://doi.org/10.1007/BF02012494