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KMID : 1038820190220010090
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Pediatric Gastroenterology, Hepatology & Nutrition
2019 Volume.22 No. 1 p.90 ~ p.97
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Enterourachal Fistula as an Initial Presentation in Crohn Disease
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Sankararaman Senthilkumar
Sabe Ramy
Sferra Thomas J.
Khalili Ali Salar
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Abstract
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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.
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KEYWORD
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Crohn disease, Inflammatory bowel diseases, Intestinal fistula, Urachus
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