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Fistulogram or fistulography is a medical imaging study used to diagnose and evaluate fistulas. It involves injecting a contrast agent into the fistula to visualize the tract and surrounding tissues. Types of fistulograms: 1. _Conventional fistulogram_: Contrast agent is injected through a catheter inserted into the fistula. 2. _Fistulography with fluoroscopy_: Real-time X-ray guidance is used to inject contrast agent and visualize the fistula. 3. _CT fistulogram_: Computed tomography (CT) scan is used to visualize the fistula and surrounding tissues after contrast agent injection. 4. _MR fistulogram_: Magnetic resonance imaging (MRI) is used to visualize the fistula and surrounding tissues after contrast agent injection. Fistulogram is used to: 1. Confirm the presence of a fistula 2. Define the location, size, and course of the fistula 3. Identify any branches or extensions of the fistula 4. Detect any complications, such as abscesses or obstructions 5. Guide treatment planning, including surgery or interventional procedures The procedure is usually performed by a radiologist or interventional radiologist, and may take 30 minutes to several hours, depending on the complexity of the case. Fistulogram is a valuable diagnostic tool for evaluating fistulas and guiding treatment, but it may have some risks and limitations, including: 1. Allergic reactions to contrast agent 2. Infection or abscess formation 3. Bleeding or hematoma 4. Radiation exposure (for CT or fluoroscopy) 5. Limited visualization in certain cases (e.g., complex anatomy) Your healthcare provider will discuss the benefits and risks of fistulogram and determine if it's appropriate for your specific situation. #Fistulogram #Fistulography