sb.hs.rg






Name of the Patient : Abc Xyzmen Karlmn / M / 13 yrs.
Referred by : Dr. Abc Xyzaidya.
Examination : M.R.I. of the Pelvis.

CLINICAL PROFILE :

C/O incontinence of rectum since birth.

EXAMINATION :

M.R.I of the pelvis was performed using the following parameters:

4 mm thick T1 Weighted and T2 Weighted axial images.

4 mm thick T1 Weighted and STIR coronal images.

4 mm thick T1 Weighted and T2 Weighted sagittal images.

OBSERVATION :

An indwelling self retaining catheter was placed through the surgically created opening in the perineum and the balloon was inflated in the colon. This opening is slightly to the left of the midline and appears to be in the pelvic floor, very close to the urethra and the penile muscles. The probable anatomical anal opening is posterior to the present opening in the floor of the pelvis. No obvious bowel loop is seen to extend upto the anatomical anal opening. The musculature around the anatomical anal opening is atrophied. The external sphincter is not well-visualized. The ischio-rectal fossae are unremarkable on either side.

The urinary bladder shows normal wall thickness. There is no free fluid in the pelvis.

Incidentally noted is minimal fluid in the right hip joint and enlarged inguinal lymphnodes.




IMPRESSION :

The MRI features suggest a surgically created anal opening in the floor of the pelvis to the left of the midline, very close to the urethra and the penile musculature. The anatomical opening appears to be posterior to the surgically created opening. There is atrophy of the external sphincter. No obvious bowel loop is seen to extend upto the anatomical anal opening.