Insights Imaging (2017) 8:537–548 DOI 10.1007/s13244-017-0572-3 PICTORIAL REVIEW Enterocutaneous fistulas: a primer for radiologists with emphasis on CT and MRI 1 1 Massimo Tonolini & Paolo Magistrelli Received: 29 June 2017 /Revised: 22 August 2017 /Accepted: 24 August 2017 /Published online: 29 September 2017 The Author(s) 2017. This article is an open access publication Abstract Teaching Points Enterocutaneous fistulas (ECFs) represent abnormal com- � Enterocutaneous fistulas may complicate abdominal sur- munications between the gastrointestinal tract and the skin. gery, sometimes Crohn’s disease and tumours. Nowadays, the majority (~80%) of ECFs develops second- � The high associated morbidity and mortality result from sepsis, malnutrition and metabolic imbalance. ary to abdominal surgeries; alternative, less common causes include chronic inflammatory bowel diseases � The multidisciplinary management of ECFs requires thor- (IBD) such as Crohn’s disease, tumours, and radiation en- ough imaging for correct therapeutic choice. teritis in descending order of frequency. These rare disor- � Radiographic fistulography rapidly depicts fistulas and ders require thorough patient assessment and multidisci- communicating bowel loops in real-time. plinary management to limit the associated morbidity and � Multidetector CT and MRI provide cross-sectional informa- mortality. This pictorial review includes an overview of tion on fistulas and underlying
Insights into Imaging – Springer Journals
Published: Sep 29, 2017
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