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Year :2022
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Month :
July
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Volume :
11
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Issue :
3
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Page :
RO45 - RO49
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Comparison of MRI with Distal Colostogram in Patients with Anorectal Malformations- A Cohort Study
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Correspondence Address :
Mayank Yadav, Renu Yadav, Meenu Amar,
Dr. Renu Yadav,
Rz-6C, Gali No 30, Indira Park, Palam Village, Dwarka-110045,
South West Delhi, India.
E-mail: doc.renu0803@gmail.com
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Introduction: Introduction: Anorectal Malformations (ARMs) are the second most common paediatric surgical emergencies with management strategy is restoration of near normal anatomy and physiology which require accurate and proper imaging diagnosis.
Aim: To evaluate Magnetic Resonance Imaging (MRI) findings and its comparison with Distal Colostogram (DC) against surgical findings in anorectal malformation patients.
Materials and Methods: A cohort study was done at two centers Jawaharlal Nehru Medical College, Aligarh (JNMC, Aligarh) and Vardhman Mahavir Medical College (VMMC) and Safdarjung Hospital, New Delhi involving 60 patients of ARMs. MRI was done in all patients and distal colostogram was done in 46 (74.4%) patients. All patients were evaluated for associated anomalies. Both the imaging modalities were compared for the type of ARM and fistula against the surgical findings and Chi square and Fisher’s test were used to calculate statistical significance.
Results: Out of total 60 patients included in this study, there were 37 (61.7%) males and 23 females (38.3%). High ARM was seen in 34 (56.7%) patients and low ARM was seen in 26 (43.3%). There was no significant difference between distal colostogram and MRI in differentiating the type of ARM (p-value 0.13). Spinal anomalies (52.5%) were the most common associated anomalies, followed by genitourinary (47.5%) and musculoskeletal (32.5%).
Conclusion: From the results of present study no significant difference was found between DC and MRI findings regarding the type of ARM.
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