{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T17:59:51Z","timestamp":1785088791093,"version":"3.55.0"},"reference-count":8,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:00:00Z","timestamp":1785024000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>Complex perianal Crohn's disease often requires functional assessment beyond anatomy. We report a 30\u2010year\u2010old man with transsphincteric fistulae and supralevator extension. Point\u2010of\u2010care transperineal ultrasound with contrast and shear\u2010wave elastography showed avid rim enhancement and mixed stiffness in a left ischioanal lesion, favoring phlegmon over liquefied abscess. Magnetic resonance imaging confirmed complex tracts; endoscopic ultrasound deemed internal drainage unsafe. On examination under anesthesia, a seton was placed, and only a limited incision was performed, yielding minimal pus. Multimodal transperineal ultrasound provided real\u2010time vascular and tissue characterization, altered surgical planning, and avoided unnecessary wide drainage while complementing MRI.<\/jats:p>","DOI":"10.1002\/jcu.70348","type":"journal-article","created":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T17:14:20Z","timestamp":1785086060000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Phlegmon, Not Abscess: Multimodal Transperineal Ultrasound Altering Surgical Approach in a Case of Complex Perianal Fistulizing Crohn's Disease"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7090-9004","authenticated-orcid":false,"given":"Partha","family":"Pal","sequence":"first","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Abdul","family":"Mateen","sequence":"additional","affiliation":[{"name":"Diagnostic Radiology and Imaging, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammad Fazelul Rahaman","family":"Shoeb","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chikkam","family":"Sandeep","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kamsala","family":"Chaitanya","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Uday Kumar","family":"Marri","sequence":"additional","affiliation":[{"name":"Interventional Radiology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piprikar Rama","family":"Rao","sequence":"additional","affiliation":[{"name":"Diagnostic Radiology and Imaging, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Syed Misba","family":"Naaz","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh","family":"Gupta","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Manu","family":"Tandan","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pradeep","family":"Rebala","sequence":"additional","affiliation":[{"name":"Surgical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"D. Nageshwar","family":"Reddy","sequence":"additional","affiliation":[{"name":"Medical Gastroenterology, Asian Institute of Gastroenterology  Hyderabad India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,26]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/jcu.70111"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2333031724"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1148\/radiol.2391041043"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40477\u2010019\u201000381\u20106"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572\u20100241.2007.01441.x"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/ibd\/izag089"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1055\/s\u20100043\u2010103954"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1053\/gast.2001.28676"}],"container-title":["Journal of Clinical Ultrasound"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70348","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/jcu.70348","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/jcu.70348","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T17:14:21Z","timestamp":1785086061000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/jcu.70348"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,26]]},"references-count":8,"alternative-id":["10.1002\/jcu.70348"],"URL":"https:\/\/doi.org\/10.1002\/jcu.70348","archive":["Portico"],"relation":{},"ISSN":["0091-2751","1097-0096"],"issn-type":[{"value":"0091-2751","type":"print"},{"value":"1097-0096","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,26]]},"assertion":[{"value":"2025-08-21","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-14","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-26","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"jcu.70348"}}