Hidronefrosis bilateral secundaria a enfermedad de crohn ileocólica

Autor: C Marchal Escalona, F. Palma Carazo, J. Bercedo Martínez, A. González Chamorro, C. De Sola Earle, N. Gandara Adan
Rok vydání: 2002
Předmět:
Zdroj: Actas Urológicas Españolas. 26:425-428
ISSN: 0210-4806
Popis: Unilateral hydronephrosis can complicate a far from negligible number of patients with Crohn´s disease. Bilateral hydronephrosis associated with Crohn´s disease is a much more unusual entity. In the other hand, the treatment for this condition is still controversial. We present the case of a 44 year old female with several bowel obstruction episodes caused by ileocolic Crohn´s disease. During the last episode she was also diagnosed of bilateral hydroureter and hydronephrosis. After the resolution of the bowel obstruction and the placement of a double J catheter in both ureters, the patient was operated. Ileocolic resection and bilateral ureterolisis with omental wrapping were performed. Although urinary and wound infection complicated the postoperative course, and a enterocutaneous fistula had to be medically treated one year later, the patient is now free of symptoms and her renal function is normal.
Databáze: OpenAIRE