J. Baars, E. Kuipers, H. van Dekken, C. J. van der Woude
{"title":"Surgery is Indicated for Persistent Enterocutaneous Fistulizing Crohn's Disease","authors":"J. Baars, E. Kuipers, H. van Dekken, C. J. van der Woude","doi":"10.4137/CGast.S452","DOIUrl":null,"url":null,"abstract":"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.","PeriodicalId":10382,"journal":{"name":"Clinical Medicine Insights. Gastroenterology","volume":"1 1","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2008-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4137/CGast.S452","citationCount":"2","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Medicine Insights. Gastroenterology","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.4137/CGast.S452","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 2
Abstract
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.
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