Journal of Clinical Ultrasound
Cure8 research brief
Why This Matters
For people with perianal Crohn’s disease, better bedside imaging that distinguishes phlegmon from abscess can change surgery plans and may avoid unnecessary wide drainage procedures.
This case shows transperineal ultrasound (including contrast and elastography) may give actionable, real-time information that complements MRI.
Who Should Pay Attention
Patients with perianal Crohn’s disease; colorectal surgeons and gastroenterologists; clinicians interested in point-of-care ultrasound.
Study Snapshot
Story typeResearch paper
Evidence typeResearch paper
Source depthJournal abstract
What To Know
This report describes a 30-year-old man with complex transsphincteric and supralevator perianal Crohn’s fistulae where point-of-care multimodal transperineal ultrasound (contrast-enhanced plus shear-wave elastography) showed vascular rim enhancement and mixed tissue stiffness, favoring a phlegmon rather than a liquefied abscess.
That imaging interpretation led the surgical team to place a seton and perform only a limited incision under anesthesia, with minimal pus found, avoiding a wide drainage procedure. The article emphasizes that transperineal ultrasound provided real-time vascular and tissue characterization that complemented MRI and influenced operative planning.
It is presented as a case report—useful for illustrating the potential role of advanced perineal ultrasound in distinguishing phlegmon from drainable abscess and in helping avoid unnecessary surgery. This is an abstract-level summary of a single case in the Journal of Clinical Ultrasound; it does not establish effectiveness across broader patient groups.
Keep In Mind
Single-case report summarized from the journal abstract; does not prove general effectiveness. Full article needed for methods and limitations.
Source Details
Review the original publication for the complete reporting, methods, and context.
Research paper
Evidence type derived from source or registry metadata.
PublicationJournal of Clinical Ultrasound
PublisherWiley
AuthorsPartha Pal, Mohammad Abdul Mateen, Mohammad Fazelul Rahaman Shoeb +9 more
Study typeJournal Article
Indexed viaCrossref
Source typeResearch paper
PublishedJul 26, 2026, 12:00 AM
Content availableJournal abstract
This Cure8 brief is based on source text from the linked article. Cure8 is informational only and is not a substitute for professional medical advice, diagnosis, or treatment.
Surgery Helps Heal Metastatic Cutaneous Crohn's Disease - EMJ
This study suggests surgery can help heal severe, noncontiguous (metastatic) skin manifestations of Crohn’s disease when medical therapy alone isn’t enough. It highlights that realistic healing may take many months and...
Recent advances in the management of small bowel Crohn's disease.
Small-bowel Crohn's disease often causes strictures and fistulas and typically needs more imaging and procedural care than colonic disease, so patients and clinicians should be aware of its distinct risks and treatment...
Targeting the Mesentery in Crohn's Disease - Medscape
Surgical technique after ileocolic resection may influence how likely Crohn’s disease is to come back near the anastomosis.