Surgery is Indicated for Persistent Enterocutaneous Fistulizing Crohn's Disease

Judith E. Baars; Ernst J. Kuipers; Herman Van Dekken; C. Janneke Van Der Woude

doi:10.4137/CGast.S452

Clinical Medicine Insights: Gastroenterology (Jan 2008)

Surgery is Indicated for Persistent Enterocutaneous Fistulizing Crohn's Disease

Judith E. Baars,
Ernst J. Kuipers,
Herman Van Dekken,
C. Janneke Van Der Woude

Affiliations

Judith E. Baars: Department of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, The Netherlands.
Ernst J. Kuipers: Department of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, The Netherlands.
Herman Van Dekken: Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.
C. Janneke Van Der Woude: Department of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, The Netherlands.

DOI: https://doi.org/10.4137/CGast.S452
Journal volume & issue: Vol. 1

Abstract

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We describe a patient with Crohn's disease who presented with a persistent enterocutaneous fistula. Colonoscopy showed no abnormalities in the terminal ileum and cecum. The patient was treated with corticosteroids and azathioprine for Crohn's disease. The fistula responded partially to therapy. Surgery was performed and revealed a well-differentiated adenocarcinoma, originating from the fistulous tract. In persistent enterocutaneous fistulae surgery is indicated and could keep us from shocking surprises.

Published in Clinical Medicine Insights: Gastroenterology

ISSN: 1179-5522 (Online)
Publisher: SAGE Publishing
Country of publisher: United Kingdom
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the digestive system. Gastroenterology
Website: https://journals.sagepub.com/home/cmg

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