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Research Paper | Surgery | Volume 15 Issue 6, June 2026 | Pages: 638 - 645 | India
A Study of Correlation of Clinical, Radiological and Intra Operative Findings in Management of Perianal Fistulas
Abstract: This observational study evaluated the role of magnetic resonance imaging (MRI) in the assessment and management of perianal fistulas and correlated clinical, radiological, and intraoperative findings. Ninety-four patients with symptomatic perianal fistulas underwent clinical examination and preoperative MR fistulography. MRI findings were compared with intraoperative observations, and postoperative outcomes were assessed. Low-lying fistulas were more common than high-lying fistulas. MRI demonstrated excellent diagnostic performance with a sensitivity of 97.85% and specificity of 96.81% and showed strong correlation with operative findings. Fistulectomy was the most frequently performed procedure. Recurrence was observed in a small proportion of patients. MRI accurately delineated fistulous tracts and sphincter involvement, assisting surgical planning and improving management outcomes. MRI should be considered an essential preoperative tool in the evaluation of perianal fistulas.
Keywords: Perianal fistula, MR fistulography, Magnetic resonance imaging, Fistulectomy, Fistulotomy, Seton, Surgical outcomes
How to Cite?: Dr. Shivangi Jain, Dr. Priyam Shah, Dr Jitendra Darshan, "A Study of Correlation of Clinical, Radiological and Intra Operative Findings in Management of Perianal Fistulas", Volume 15 Issue 6, June 2026, International Journal of Science and Research (IJSR), Pages: 638-645, https://www.ijsr.net/getabstract.php?paperid=SR26610183930, DOI: https://dx.dx.doi.org/10.21275/SR26610183930