Evidence map›Paper›PMID 40594403›Full record

ArticleScientific reports2025

Ultrasound assessment of low type intersphincteric perianal fistulas in Yemen.

Sultan Abdulwadoud Alshoabi, Abdulkhaleq Ayedh Binnuhaid, Abdullgabbar M Hamid, Fahad H Alhazmi, Abdulaziz A Qurashi, Awadia Gareeballah, Moawia Gameraddin, Osamah M Abdulaal, Walaa Alsharif, Fathelrehman A Elajab and 2 more

Abstract read
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Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

  1. Review
4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Sultan Abdulwadoud AlshoabiDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia. alshoabisultan@yahoo.com.
Abdulkhaleq Ayedh BinnuhaidDepartment of Specialized Surgery, Radiology Section, Faculty of Medicine, Hadhramout University, Hadhramaut, Republic of Yemen.
Abdullgabbar M HamidRadiology Department, Rush University Medical Group, Chicago, IL, 60612, USA.
Fahad H AlhazmiDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Abdulaziz A QurashiDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Awadia GareeballahDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Moawia GameraddinDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Osamah M AbdulaalDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Walaa AlsharifDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Fathelrehman A ElajabDepartment of Diagnostic Radiology, College of Applied Medical Sciences, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Tareef S DaqqaqRadiology Department, Faculty of Medicine, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
Khaled Mohammed Al-SayaghiDepartment of Medical Surgical Nursing, College of Nursing, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A perianal fistula is an abnormal tract connection between the anal canal and the surrounding skin of the perineum, with underdiagnosis in specific populations. The aim of this study was to diagnose and describe the intersphincteric perianal fistulas (number, site, number of internal and external openings, and length) using transcutaneous ultrasound (TCUS) imaging. This was a retrospective study included patients who underwent TCUS for clinically diagnosed of low-type intersphincteric perianal fistulas during April 2017-December 2022. A total of 581 perianal fistulas from 549 patients were included in this study. The mean age of the patients was 36.14 ± 13.37-year (range from 1 to 80 years). The majority were in the young adult age group, from 21 to 40 years (56.47%), 84% were male and 16% female. The patients predominantly had one fistula (94.35%) with one external opening (EO) (79.10%), and one internal opening (IO) (99.65%). The left quadrants (1-6 O'clock around the anus) were the most common sites of the EO (60.5%). The IO was 11-20 mm above the anal verge in 58.5% of fistulas and ≤ 10 mm in 27.4%. The length of the fistular tract was 21-30 mm in 30.1%, 11-20 mm in 27.4%, and 31-40 mm in 25.0%. The perianal fistulas in the left posterior quadrant had a significantly shorter fistular tract compared to those in the other three quadrants. There was no significant variation in the IO distance from anal verge between fistulas in the different anal quadrants. The solitary tract, IO and EO with the short length, and small distance of IO from the anal verge improve surgical outcomes and decrease complications and recurrence of the perianal fistulas. TCUS, when performed by an experienced operator, can be effectively utilized for the diagnosis and surgical planning of low-type perianal fistulas, with the offer of that it is a non-invasive, well-tolerated, and radiation-free imaging method.

Indexed as

Anal CanalRectal FistulaAdolescentAdultAgedAged, 80 and overChildChild, PreschoolFemaleHumansInfantMaleMiddle AgedPerineumRetrospective StudiesUltrasonographyAnal canalIntersphinctericLow-type perianal fistulaTransperineal ultrasonography

Identifiers

PMID40594403
PMCPMC12216120

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.