Ureteral Obstruction Caused by Crohn's Disease.
- Author:
Hong Seok KIM
1
;
Sung Yeop CHEON
;
Heui Kyeong OH
;
Young Beom JEONG
;
Young Gon KIM
Author Information
1. Department of Urology, Chonbuk National University Medical School, Jeonju, Korea. ygkim@moak.Chonbuk.ac.kr
- Publication Type:Case Report
- Keywords:
Crohn's disease;
Ureteral obstruction;
Corticosteroid
- MeSH:
Adult;
Crohn Disease*;
Diarrhea;
Drainage;
Humans;
Hydronephrosis;
Ileum;
Mesalamine;
Psoas Abscess;
Ureter*;
Ureteral Obstruction*;
Urologic Diseases;
Weight Loss
- From:Korean Journal of Urology
2002;43(12):1100-1103
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Obstructive uropathy with hydronephrosis is a well-known complication of Crohn's disease. This complication is treacherous, since symptoms of urinary tract disease are mostly absent. Inflammatory ureteral engagement should always be suspected in patients with Crohn's disease, particularly when located in the terminal ileum. The treatment for this condition is still controversial. We report a case of a 25 year-old man who presented with intermittent diarrhea, weight loss, and RLQ pain. Diagnostic studies confirmed Crohn's disease, and revealed an abdominal mass obstructing the right ureter with hydroureteronephrosis. The patient was successfully treated with corticosteroid and mesalamine, without resection of the ileocecal lesion, drainage of the iliopsoas abscess and ureterolysis. We discuss a ureteral obstruction as a complication of Crohn's disease, with emphasis on conservative treatment.
