L’échographie endocavitaire dans les suppurations anales : le poids des mots, le choc des photos
Endoluminal ultrasound in anal suppurations: of words and images...
Originally dedicated to the exploration of prostate, endoluminal ultrasound has progressively been modified for the study of the digestive tract. In particular, it has increasingly been applied to proctology in the past decade because this technique, which is easy to access to, innocuous, simple to perform and costless, provides an excellent anatomical view of the anorectal region. Thus it has contributed to improve the therapeutic management of anal suppurations since it provides accurate topographical data (primary opening, main fistulous track, secondary extensions and/or collections) and because it allows for the evaluation of the sphincter apparatus at the same time. An additional magnetic resonance imaging can sometimes be useful in order to complete the locoregional evaluation of some complex suppurations (main fistulous track located in the upper zone, deep collections, scar tissues etc.).
“A surgeon who ignores anatomy cuts his patient like a blind man saws wood” (proverb from the Middle Ages. Trodel-Costedoat K. La chirurgie au Moyen-Age ou le corps médical désarticulé. Moyen-Age 1999; 12 : 22–6).
V. DE PARADES, Isabelle ETIENNEY, Ch.A. CUENOD, P. ATIENZA
anal endosonography, collection, fistulous track, magnetic resonance imagery, primary opening, sphincter disruption