| Autor: |
Sankararaman, Senthilkumar, Sabe, Ramy, Sferra, Thomas J., Khalili, Ali Salar |
| Předmět: |
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| Zdroj: |
Pediatric Gastroenterology, Hepatology & Nutrition; Jan2019, Vol. 22 Issue 1, p90-97, 8p |
| Abstrakt: |
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. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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