Fistulogram- Report templates male

📝 CONTRAST MEDIA X-RAY TEMPLATES

📝 Barium Swallow

📝 Barium Meal

📝 BFT (Barium Follow Through)

📝 Barium Enema

📝 IVU / IVP

📝 MCU / VCUG

📝 RGP (Retrograde Pyelography)

📝 Angiography

📝 Venography

📝 HSG (Hysterosalpingography)

📝 Fistulogram-Male

📝 Fistulogram-Female

─── 🧾 Fistulogram - Male ───

Templates

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COUNSELING DAY

📄 Normal Stady

RECTOCUTANEOUS FISTULA- Rectum → skin

📄 Rectocutaneous fistula – Single simple tract

📄 Rectocutaneous fistula – Multiple tracts

📄 Rectocutaneous fistula – Branching / complex tract

📄 Rectocutaneous fistula – Blind-ending sinus tract

📄 Rectocutaneous fistula – Associated abscess cavity

📄 Rectocutaneous fistula – With active contrast leak

📄 Rectocutaneous fistula – With secondary tract formation

📄 Rectocutaneous fistula – Communicating with adjacent organ

ANOCUTANEOUS FISTULA- anal canal → skin

📄 Anocutaneous fistula – Single simple tract

📄 Anocutaneous fistula – Multiple tracts

📄 Anocutaneous fistula – Branching / complex tract

📄 Anocutaneous fistula – Blind-ending sinus tract

📄 Anocutaneous fistula – Associated abscess cavity

📄 Anocutaneous fistula – With active contrast leak

📄 Anocutaneous fistula – With secondary tract formation

📄 Anocutaneous fistula – Communicating with adjacent organ

ENTEROCUTANEOUS FISTULA- small intestine → skin

📄 Enterocutaneous fistula – Single simple tract

📄 Enterocutaneous fistula – Multiple tracts

📄 Enterocutaneous fistula – Branching / complex tract

📄 Enterocutaneous fistula – Blind-ending sinus tract

📄 Enterocutaneous fistula – Associated abscess cavity

📄 Enterocutaneous fistula – With active contrast leak

📄 Enterocutaneous fistula – With secondary tract formation

📄 Enterocutaneous fistula – Communicating with adjacent organ

COLOCUTANEOUS FISTULA- colon → skin

📄 Colocutaneous fistula – Single simple tract

📄 Colocutaneous fistula – Multiple tracts

📄 Colocutaneous fistula – Branching / complex tract

📄 Colocutaneous fistula – Blind-ending sinus tract

📄 Colocutaneous fistula – Associated abscess cavity

📄 Colocutaneous fistula – With active contrast leak

📄 Colocutaneous fistula – With secondary tract formation

📄 Colocutaneous fistula – Communicating with adjacent organ

VESICOCUTANEOUS FISTULA- urinary bladder → skin

📄 Vesicocutaneous fistula – Single simple tract

📄 Vesicocutaneous fistula – Multiple tracts

📄 Vesicocutaneous fistula – Branching / complex tract

📄 Vesicocutaneous fistula – Blind-ending sinus tract

📄 Vesicocutaneous fistula – Associated abscess cavity

📄 Vesicocutaneous fistula – With active contrast leak

📄 Vesicocutaneous fistula – With secondary tract formation

📄 Vesicocutaneous fistula – Communicating with adjacent organ

URETHROCUTANEOUS FISTULA- urethra → skin

📄 Urethrocutaneous fistula – Single simple tract

📄 Urethrocutaneous fistula – Multiple tracts

📄 Urethrocutaneous fistula – Branching / complex tract

📄 Urethrocutaneous fistula – Blind-ending sinus tract

📄 Urethrocutaneous fistula – Associated abscess cavity

📄 Urethrocutaneous fistula – With active contrast leak

📄 Urethrocutaneous fistula – With secondary tract formation

📄 Urethrocutaneous fistula – Communicating with adjacent organ

ENTEROENTERIC FISTULA- bowel → bowel

📄 Enteroenteric fistula – Single simple tract

📄 Enteroenteric fistula – Multiple tracts

📄 Enteroenteric fistula – Branching / complex tract

📄 Enteroenteric fistula – Blind-ending sinus tract

📄 Enteroenteric fistula – Associated abscess cavity

📄 Enteroenteric fistula – With active contrast leak

📄 Enteroenteric fistula – With secondary tract formation

📄 Enteroenteric fistula – Communicating with adjacent organ

📄 Enteroenteric fistula – bowel → bowel

ENTEROCOLIC FISTULA- small bowel → colon

📄 Enterocolic fistula – Single simple tract

📄 Enterocolic fistula – Multiple tracts

📄 Enterocolic fistula – Branching / complex tract

📄 Enterocolic fistula – Blind-ending sinus tract

📄 Enterocolic fistula – Associated abscess cavity

📄 Enterocolic fistula – With active contrast leak

📄 Enterocolic fistula – With secondary tract formation

📄 Enterocolic fistula – Communicating with adjacent organ

PERIANAL FISTULA

📄 Intersphincteric perianal fistula

📄 Transsphincteric perianal fistula

📄 Suprasphincteric perianal fistula

📄 Extrasphincteric perianal fistula

📄 Perianal fistulaSingle- simple fistulous tract

📄 Perianal fistulaSingle- Multiple fistulous tracts

📄 Perianal fistulaSingle- Branching / complex fistula

📄 Perianal fistulaSingle- Blind-ending sinus tract

📄 Perianal fistulaSingle- Associated with abscess cavity

📄 Perianal fistulaSingle- with active contrast leak

📄 Perianal fistulaSingle- with secondary tract formation

📄 Perianal fistula – Communicating with adjacent organ

POST-SURGICAL FISTULA

📄 Post-surgical fistula

📄 Inflammatory fistula (e.g., Crohn’s disease)

📄 Infective fistula

📄 Traumatic fistula

📄 Rectal Fistula

📄 Pere anal Fistula

📷 Insert Image

Patient Info

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1. BASED ON SITE OF INTERNAL OPENING

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📄 Rectocutaneous fistula – rectum → skin

📄 Anocutaneous fistula – anal canal → skin

📄 Enterocutaneous fistula – small intestine → skin

📄 Colocutaneous fistula – colon → skin

📄 Vesicocutaneous fistula – urinary bladder → skin

📄 Urethrocutaneous fistula – urethra → skin

📄 Enteroenteric fistula – bowel → bowel

📄 Enterocolic fistula – small bowel → colon

📄 Perianal fistula – intersphincteric / transsphincteric / suprasphincteric / extrasphincteric

2. BASED ON TRACT PATTERN

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📄 Single simple fistula – solitary, non-branching fistulous tract

📄 Multiple fistulous tracts – more than one tract identified

📄 Branching / complex fistula – secondary branches or intercommunicating tracts present

📄 Blind-ending sinus tract – tract without internal opening

3. BASED ON COMPLICATIONS

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📄 Fistula with abscess cavity – localized collection adjacent to the fistulous tract

📄 Fistula with active contrast leak – ongoing extravasation of contrast material

📄 Fistula with secondary tract formation – additional branching or accessory tracts

📄 Fistula communicating with adjacent organ – abnormal connection with nearby viscus

4. BASED ON ETIOLOGY (SUGGESTED)

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📄 Post-surgical fistula – following operative or interventional procedures

📄 Inflammatory fistula – associated with Crohn’s disease or chronic inflammation

📄 Infective fistula – secondary to localized or systemic infection

📄 Traumatic fistula – resulting from blunt or penetrating injury

📄 Rectal fistula – abnormal communication involving the rectum

📄 Perianal fistula – fistulous tract arising from the anal canal or perianal region

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End of Topic

You have reached the end of this First-Trimester Ultrasound topic.

Content is intended for educational, training, and clinical reference only.

Declaration:
I, R. K. Mouj, declare that the material presented in this Fistulogram report template has been prepared solely for educational and academic purposes. All procedural steps, fistulous tract outlines, contrast flow patterns, site and extent of communication, and example observations provided are illustrative in nature. Clinical correlation, relevant investigations, follow-up imaging where indicated, and professional clinical judgment are essential before making any diagnostic or management decisions.

Author: ____________________
Name: R. K. Mouj [Radio-imaging Technologist]
Domain: Diagnostic Radiography & Contrast Imaging
Procedure: Fistulogram
Platform: SonoAcademy
Supervisor / Guide: Department Radiologist
Department: Radiology

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