Enterourachal Fistula as an Initial Presentation in Crohn Disease.
10.5223/pghn.2019.22.1.90
- Author:
Senthilkumar SANKARARAMAN
1
;
Ramy SABE
;
Thomas J SFERRA
;
Ali Salar KHALILI
Author Information
1. Division of Pediatric Gastroenterology, Department of Pediatrics, UH Rainbow Babies & Children's Hospital, Case Western Reserve University School of Medicine, Cleveland, OH, United States. Ali.Khalili@UHhospitals.org
- Publication Type:Case Report
- Keywords:
Crohn disease;
Inflammatory bowel diseases;
Intestinal fistula;
Urachus
- MeSH:
Abdominal Pain;
Abdominal Wall;
Abscess;
Adolescent;
Azathioprine;
Constriction, Pathologic;
Crohn Disease*;
Dysuria;
Fistula*;
Humans;
Ileum;
Inflammatory Bowel Diseases;
Intestinal Fistula;
Male;
Urachus
- From:Pediatric Gastroenterology, Hepatology & Nutrition
2019;22(1):90-97
- CountryRepublic of Korea
- Language:English
-
Abstract:
Crohn disease has a wide spectrum of clinical presentations and rarely can present with complications such as a bowel stricture or fistula. In this case report, we describe a 17-year-old male who presented with a history of recurrent anterior abdominal wall abscesses and dysuria. He was diagnosed with Crohn disease and also found to have a fistulous communication between the terminal ileum and a patent urachus. An ileocecectomy with primary anastomosis and complete resection of the abscess cavity was performed. He is on azathioprine for maintenance therapy and currently in remission. Clinicians should have a high index of suspicion for this complication in Crohn disease patients presenting with symptoms suggestive of urachal anomalies such as suprapubic abdominal pain, dysuria, umbilical discharge, and periumbilical mass.
