Year 2010 / Volume 102 / Number 5
Original
The importance of ultrasound findings in the study of anal pain

pp. 308-313

A. M. Vieira, F. Castro-Poças, P. Lago, R. Pimentel, R. Pinto, M. M. Saraiva y J. Areias

Abstract
Objective: endoanal ultrasonography can detect organic causes of anal pain without pathology on physical examination. The aim of this study is to evaluate the importance of endoanal ultrasonography in the diagnosis and therapeutic management of idiopathic and functional anal pain.
Material and methods: retrospective study, between 15 March 2005 and 15 June 2008, of all patients with proctalgia and normal examination or with alterations not responsible for anal pain at proctologic exam that have undergone an endoanal ultrasonography.
Results: a total of 90 patients were analyzed, with a mean age of 50.5 years, 58% were female. Twenty-three patients had functional anal pain clinic criteria. Endoanal ultrasonography revealed
alterations in 49% of patients. The primary findings were changes in sphincters in 14 patients, followed by anal sepsis in 12
patients, anal fissure in 10 patients, perirectal lesions in 6 patients and ulcer of the anal canal in 2 patients. Of the patients with sphincter defects, 5 patients had criteria of chronic anal pain. In this group of patients, no differences were found in manometric and defecographic results between the different ultrasound abnormalities.

Conclusions: the endoanal ultrasonography detected occult organic lesions to proctologic examination, in half the patients with anal pain. Ultrasound abnormalities were found in 22% of
patients with functional anal pain. However, there was no correlation between ultrasound findings and physiological studies, and therefore could not find etiological or pathogenic factors of functional
anal pain.
Share Button
New comment
Comments
No comments for this article
Related articles
Citation tools
A. M. Vieira, F. Castro-Poças, P. Lago, R. Pimentel, R. Pinto, M. M. Saraiva y J. Areias. The importance of ultrasound findings in the study of anal pain. 308-313


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 773 visits.
This article has been downloaded 7 times.
Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2024 y Creative Commons. The Spanish Journal of Gastroenterology