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Journals
Journal of Ultrasonography
Volume 20 (2020): Issue 82 (January 2020)
Open Access
Perianal lesions as an unusual first manifestation of Crohn’s disease in pediatric patients – case series
Monika Zbroja
Monika Zbroja
,
Weronika Cyranka
Weronika Cyranka
,
Maryla Kuczyńska
Maryla Kuczyńska
,
Agnieszka Brodzisz
Agnieszka Brodzisz
and
Magdalena Maria Woźniak
Magdalena Maria Woźniak
| Sep 28, 2020
Journal of Ultrasonography
Volume 20 (2020): Issue 82 (January 2020)
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Article Category:
research-article
Published Online:
Sep 28, 2020
Page range:
222 - 225
Received:
Jun 23, 2020
Accepted:
Jul 24, 2020
DOI:
https://doi.org/10.15557/jou.2020.0038
Keywords
Crohn’s disease
,
ultrasound examination
,
anorectal fistula
© 2021 Polish Ultrasound Society. Published by Medical Communications Sp. z o.o.
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.
Fig. 1.
A. A 12-year-old boy underwent US examination. On the left side of the anus in soft tissues of the buttock there is an area with irregular, echogenically heterogeneous tissue sized about 22 × 23 mm with features of increased vascularization. The lesion has characteristics of an inflammatory infiltration. An abscess is beginning to form. B. US examination showed a fistulous tract originating from the abscess and reaching the skin
Fig. 2.
A 12-year-old girl underwent US examination, which showed a heterogeneous hypoechoic area (41 × 27 mm) and fluid with heterogeneously echogenic „thick” content in the area of the intergluteal fistula. There is an inflammatory infiltration of the surrounding tissues and a visible perianal abscess
Fig. 3.
Endorectal US in a 15-year-old boy showed a 18-mm long and 3–4 mm thick fistula reaching the sphincter