Steven Edward Kammann MD, Abstract Co-Author: Nothing to Disclose

Christine O. Menias MD, Presenter: Nothing to Disclose

Amy Kiyo Hara MD, Abstract Co-Author: Nothing to Disclose

Mariam Moshiri MD, Abstract Co-Author: Consultant, Reed Elsevier Author, Reed Elsevier

Akram Mohamed Shaaban MBBCh, Abstract Co-Author: Contributor, Amirsys, Inc

Kumaresan Sandrasegaran MD, Abstract Co-Author: Nothing to Disclose

Venkateswar Rao Surabhi MD, Abstract Co-Author: Nothing to Disclose

Cary Lynn Siegel MD, Abstract Co-Author: Nothing to Disclose

Steven Brandes MD, Abstract Co-Author: Nothing to Disclose

 Review the imaging features of genital complications in crohn patients on fluoroscopy, and cross-sectional imaging  Discuss the epidemiology, clinical presentation and management of genital complications of Crohn Disease (CD)  Review other disease entities that can mimic Genital CD.  

 1. Imaging features of genital CD at fluoroscopy, US, CT and MRI will be discussed: A. Rectovaginal fistula B. Anovaginal/aginal-vulvar fistula C. Enterovaginal Fistula D. Recto-urethral Fistula E. PID/TOA F. Labial/Scrotal edema G. Perineal involvement of CD 2. Other disease entities that can simulate genital CD 3. Management and therapeutic options SUMMARY Crohn disease (CD) is a chronic relapsing, granulomatous, and inflammatory bowel disorder characterized by transmural bowel inflammation and a tendency to form fistulas with adjacent structures. Genital complications of CD are not uncommon; however are often clinically masked by dominant intestinal or systemic symptoms. The usual mechanism is direct extension of fistualizing transmural intestinal disease to the pelvic organs, and rarely due to “metastatic” CD involving the perineum and external genitalia separated from the bowel. Recognition of their manifestations and imaging appearances is crucial so that appropriate medical or surgical intervention is accomplished.  

http://abstract.rsna.org/uploads/2014/14003142/14003142_6fsc.pdf

Kammann, S, Menias, C, Hara, A, Moshiri, M, Shaaban, A, Sandrasegaran, K, Surabhi, V, Siegel, C, Brandes, S, Genital Complications of Crohn Disease: Imaging Features and Implications of Management.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003142.html