A unique 3D endoanal ultrasound feature of perianal Crohn’s fistula: the ‘Crohn ultrasound fistula sign’

Aim  Using a high‐resolution 3D endoanal ultrasound, we have observed that some perianal fistulas show a hypoechogenic fistula tract surrounded by a well‐defined hyperechogenic area with a thin hypoechogenic edge in patients with Crohn’s disease [‘Crohn’s Ultrasound Fistula Sign’ (CUFS)], unlike conventional fistula tracks. The study aimed to determine the prevalence of CUFS in a consecutive series of patients with anal fistula.

[1]  U. Gunnarsson,et al.  Endoanal ultrasonography may distinguish Crohn’s anal fistulae from cryptoglandular fistulae in patients with Crohn’s disease: a cross-sectional study , 2011, Techniques in Coloproctology.

[2]  R. D'Incà,et al.  Inflammatory Bowel Disease Developing in Paediatric and Adult Age , 2010, Journal of pediatric gastroenterology and nutrition.

[3]  L. Siproudhis,et al.  Nonfistulizing perianal Crohn's disease: clinical features, epidemiology, and treatment. , 2010, Inflammatory bowel diseases.

[4]  B. Cesana,et al.  Assessing the activity of perianal Crohn's disease: Comparison of clinical indices and computer‐assisted anal ultrasound , 2009, Inflammatory bowel diseases.

[5]  Julia Salleron,et al.  Natural history of pediatric Crohn's disease: a population-based cohort study. , 2008, Gastroenterology.

[6]  Y. Tanaka,et al.  Comparison of accuracy of physical examination and endoanal ultrasonography for preoperative assessment in patients with acute and chronic anal fistula , 2008, Techniques in Coloproctology.

[7]  Brenda Ruthruff Clinical review of Crohn’s disease , 2007, Journal of the American Academy of Nurse Practitioners.

[8]  S. Dorn Predictors of Crohn's disease. , 2006, Gastroenterology.

[9]  E. Kuipers,et al.  Clinical and endosonographic effect of ciprofloxacin on the treatment of perianal fistulae in Crohn's disease with infliximab: a double‐blind placebo‐controlled study , 2004, Alimentary pharmacology & therapeutics.

[10]  S. Halligan,et al.  Clinical examination, endosonography, and MR imaging in preoperative assessment of fistula in ano: comparison with outcome-based reference standard. , 2004, Radiology.

[11]  American Gastroenterological Association medical position statement: perianal Crohn's disease. , 2003, Gastroenterology.

[12]  B. Moum,et al.  Epidemiology of inflammatory bowel disease--methodological considerations. , 2002, Digestive and liver disease : official journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver.

[13]  A. Zinsmeister,et al.  The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota. , 2002, Gastroenterology.

[14]  A. Zinsmeister,et al.  A comparison of endoscopic ultrasound, magnetic resonance imaging, and exam under anesthesia for evaluation of Crohn's perianal fistulas. , 2001, Gastroenterology.

[15]  A. Dietrich,et al.  Crohn's disease: bowel resection to protect the proctium in severe perianal disease? , 2001, Langenbeck's Archives of Surgery.

[16]  M. Barthet,et al.  Prospective comparison of endosonography, magnetic resonance imaging and surgical findings in anorectal fistula and abscess complicating Crohn's disease , 1999, The British journal of surgery.

[17]  A. Ekbom,et al.  Epidemiology of inflammatory bowel disease , 1992, Current opinion in gastroenterology.

[18]  J. Coller,et al.  Anal complications in Crohn's disease , 1981, Diseases of the colon and rectum.

[19]  L. Hughes,et al.  Surgical Pathology and Management of Anorectal Crohn's Disease , 1978, Journal of the Royal Society of Medicine.