Presentation2.pptx, radiological imaging of the rectal diseases.

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Presentation2.pptx, radiological imaging of the rectal diseases.

  1. 1. Dr/ ABD ALLAH NAZEER. MD. Radiological imaging of the rectal diseases.
  2. 2. Barium enema radiograph showing evidence of imperforate anus.
  3. 3. Imperforate anus.
  4. 4. Proctitis. symptoms of proctitis include: pain in the rectum, anus, and abdominal region bleeding from the rectum passing mucus from the rectum very loose stools Diarrhea. Complications. ulcers: open sores that develop in the rectum and colon abscesses: pus-filled areas of infection anemia: a deficiency of red blood cells caused by rectal bleeding
  5. 5. Amoebic proctitis in an HIV-infected transsexual patient with circumferential wall thickening of the rectum.
  6. 6. Proctitis in an HIV-infected transsexual patient with circumferential wall thickening of the rectum.
  7. 7. Seven-millimeter-diameter polyp.
  8. 8. Small rectal polyp.
  9. 9. Rectal Cancer.
  10. 10. Accurate preoperative staging • Location (height) • TNM staging • Free resection Margin TME Tumour Height Measurement Decreasing order of reliability??? 1. Rigid sigmoidoscopy 2. Flexible sigmoidoscopy/colonoscopy 3. Endorectal ultrasound (can overestimate) 4. DRE (low lying tumours) 5. CT or MRI
  11. 11. Management T1. Transanal Excision T2. TME T3. Pre-op Chemo-rad + TME Vs TME + Post-op Chemo-rad T 4 • Pre-op Chemo-rad +Exenteration. MRI Accuracy T Staging : 71-91 % N Staging : 43-85 % CRM : 95 % Highest Accuracy and Consistency.
  12. 12. Summary.
  13. 13. Thank You.

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