1. Enterourachal Fistula as an Initial Presentation in Crohn Disease
- Author
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Ali Salar Khalili, Senthilkumar Sankararaman, Thomas J. Sferra, and Ramy Sabe
- Subjects
Abdominal pain ,medicine.medical_specialty ,Fistula ,Case Report ,Inflammatory bowel diseases ,Urachus ,Abdominal wall ,03 medical and health sciences ,0302 clinical medicine ,Maintenance therapy ,030225 pediatrics ,medicine ,Dysuria ,Hepatology ,business.industry ,Patent urachus ,Gastroenterology ,Crohn disease ,medicine.disease ,Surgery ,medicine.anatomical_structure ,Pediatrics, Perinatology and Child Health ,030211 gastroenterology & hepatology ,medicine.symptom ,Complication ,business ,Intestinal fistula - 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.
- Published
- 2019
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