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[Computer tomography appearances of the enterocutaneous fistula classification]
Wei Huang1, Guang-ming Lu, Hong Su
1Department of Medical Imaging, Jinling Hospital, Nanjing 210002, China. huangnj@126.com
Summary
Computer tomography (CT) effectively classifies enterocutaneous fistulas. Tube fistulas appear as ducts, while labiate fistulas present as large external openings, aiding diagnosis and treatment planning.
Area of Science:
- Radiology
- Gastroenterology
- Surgical Imaging
Background:
- Enterocutaneous fistulas are complex gastrointestinal defects.
- Accurate classification is crucial for effective management.
- Distinguishing fistula types impacts treatment strategies.
Purpose of the Study:
- To detail the characteristic computed tomography (CT) findings for classifying enterocutaneous fistulas.
- To evaluate the utility of CT in differentiating between tube and labiate fistula types.
Main Methods:
- A retrospective analysis of CT scans from 754 patients with enterocutaneous fistulas.
- Patients were categorized into tube and labiate fistula groups based on clinical presentation.
- CT imaging features were analyzed for each classification.
Main Results:
- Tube fistulas (68.6%) showed a duct connecting internal and external openings.
- Labiate fistulas (31.4%) presented with a large, labium-like external opening.
- Abscess incidence was higher in tube fistulas (P<0.01), while intestinal inflammation was more common in labiate fistulas (P<0.01).
Conclusions:
- Enterocutaneous fistulas exhibit distinct CT appearances.
- CT scanning is a valuable tool for classifying enterocutaneous fistulas.
- CT findings correlate with specific clinical and pathological characteristics.
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