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DOI:10.2214/AJR.07.3773
AJR 2008; 191:1469-1476
© American Roentgen Ray Society


Pictorial Essay

Postoperative Pelvic MRI of Anorectal Malformations

Mohamed A. Eltomey1, Lane F. Donnelly2, Kathleen H. Emery2, Marc A. Levitt3 and Alberto Peña3

1 Department of Radiology and Imaging, Medical Compound, Faculty of Medicine, Tanta University, Elbahr St., Tanta, Egypt 31511.
2 Department of Radiology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.
3 Colorectal Center, Division of Pediatric Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH.

OBJECTIVE. Patients operated on for anorectal malformations can experience technical complications related to the initial corrective surgery. Many of these complications may necessitate reoperation. Pelvic MRI is part of the evaluation to assess the position of the pulled-through bowel, the sphincter muscles, and the critical area of the posterior urethra. This article reviews the various pelvic MRI findings in these patients.

CONCLUSION. Pelvic MRI is a valuable tool in the assessment of postoperative anorectal malformations that may necessitate additional surgery.

Keywords: anorectal malformations • pelvic MRI • postoperative complications


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