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| Year : 2001 | Volume
: 6
| Issue : 2 | Page : 4-13 |
Magnetic resonance imaging in anorectal malformations
AA Shah, MR Kothari, N Bhattacharjee, AJ Shah, AV Shah
Department of Pediatric Surgery KM School of Post Graduate Medicine and Research VS Hospital, Ahmedabad-380006
Correspondence Address:
AA Shah
Department of Pediatric Surgery KM School of Post Graduate Medicine and Research VS Hospital, Ahmedabad-380006
 Source of Support: None, Conflict of Interest: None  | Check |
ABSTRACT: Magnetic Resonance Imaging (MRI) is a relatively new diagnostic tool in the management of Anorectal Malformation (ARM) and this investigative modalityin evaluation of patients with ARM is unique due to its exquisite soft tissue imaging ability in a ll three planes. It is noninvasive in nature. Both, pre and postoperative patients have been studied by imaging the pelvis and lumbosacral spine in the sagittal, transverse and coronal planes in the present study. MRI provided detailed information on the type of malformation, extent of the pelvic musculature and the skeletal status particularly of the lumbosacral spine in preoperative evaluation. This can be very helpful to study the relationship between the pulled through bowel and the muscle complex in patients with incontinence before one considers redo surgery. The cost factor may be a little prohibitive; however, the information obtained is worthwhile in selected patients with ARM. MRI performed on neonates at the time of first presentation may provide all the information necessary and other investigations like invertogram, intravenous pyelogram and lopogram etc. with their own major drawbacks can be avoided. This paper deals in depth regarding our experience with MRI in the management of ARM in 20 cases.
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