MRI of complicated pouchitis.

Rohini N. Nadgir, Jorge A. Soto, Klea Dendrinos, Brian C. Lucey, James M. Becker, Francis A. Farraye

Research output: Contribution to journalArticlepeer-review

Abstract

OBJECTIVE: The purpose of this study is to assess the ability of MRI to identify the presence of inflammation related to the pouch reservoir in symptomatic patients with an ileal pouch-anal anastomosis who present with clinically suspected complicated pouchitis. CONCLUSION: Initial results suggest that MRI should be considered in patients who have undergone ileal pouch-anal anastomosis and present a clinical impression of complicated pouchitis. MRI showed abnormalities consistent with complicated pouchitis in seven of nine examinations, with findings including pouch wall thickening, abnormal wall enhancement, peripouch fluid collection, sinus and fistula tract formation, lymphadenopathy, and peripouch stranding and fatty proliferation. MRI findings of complicated pouchitis should raise the suspicion of Crohn's disease and should prompt further investigation.

Original languageEnglish (US)
Pages (from-to)W386-391
JournalAJR. American journal of roentgenology
Volume187
Issue number4
DOIs
StatePublished - Oct 2006
Externally publishedYes

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging

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