Enterocolic Fistula caused by Acute Colitis in a Hemodialysis Patient.
- Author:
Ha Neul PARK
1
;
Jin Ah KIM
;
Soo Kyoung CHOI
;
Kab Soo SHIN
;
Yoon Gwon MUN
;
Bo Mi CHOI
;
Young Ok KIM
Author Information
- Publication Type:Case Report
- Keywords: Enterocolic fistula; Colitis; Hemodialysis
- MeSH: Abdominal Pain; Anti-Bacterial Agents; Ascites; Ascitic Fluid; Colitis*; Crohn Disease; Diarrhea; Diverticulitis; Fistula*; Humans; Kidney; Korea; Middle Aged; Nephrectomy; Peritonitis; Renal Dialysis*; Rupture; Sigmoidoscopy; Tomography, X-Ray Computed
- From:Korean Journal of Medicine 2016;90(1):41-45
- CountryRepublic of Korea
- Language:Korean
- Abstract: Enterocolic fistulas are commonly associated with previous surgery, Crohn's disease, diverticulitis, radiation therapy, and malignancy. Here, we report a rare case of enterocolic fistula caused by acute colitis in a hemodialysis patient. A 62-year-old man on maintenance hemodialysis underwent a radical nephrectomy via a paramedian incision due to spontaneous right kidney rupture and was treated with prophylactic antibiotics. On the 16th day of antibiotic therapy, he complained of abdominal pain and diarrhea. Abdominal computed tomography (CT) and ascitic fluid culture revealed acute bacterial peritonitis and sigmoidoscopy showed acute colitis. After treating these diseases with adequate antibiotics, the abdominal pain and ascites were relieved, but the diarrhea persisted. Abdominal CT obtained 7 days later showed an enterocolic fistula. To our knowledge, this is the first case of enterocolic fistula due to acute colitis in Korea.
