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(J) Guided tour of hidden tracts in the pelvis: exploring pelvic fstulas
Background Fistulas are an abnormal connection between two or more epithelial surfaces. When fstulization between
adjacent structures occurs in the pelvis, there is almost invariably signifcant associated morbidity and impact on a patient’s
quality of life. Imaging may aid in the diagnosis of pelvic fstulas and is essential to identify any associated pathology, defne
the course of the fstula, and aid in pre-surgical planning.
Purpose This article aims to review the wide array of clinical and imaging presentations of fstulas in the pelvis, with a focus
on the radiologists’ role in managing this challenging entity.
Methods This article will review each classifcation type of fstula.
Results Pelvic fstula is a devastating condition that causes signifcant morbidity and evaluation can be challenging.
Conclusions Imaging, and particularly MRI, plays a vital role in the diagnosis, characterizing the course of a fstula and
demonstrating associated complications, which are essential to guide treatment decisions
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