Abstract
Fistula formation in patients with Crohn's disease is a common complication during the course of the disease. Perianal and enteroenteric are the most common forms of fistulas, whereas the involvement of the upper gastrointestinal tract with gastrocolic and duodenocolic fistulas represents an extremely unusual condition. Moreover, hyperthyroidism in association with Crohn's disease has been rarely described. We present here a rare case of a 25-year-old male with simultaneous onset of hyperthyroidism and fistulizing Crohn's disease. Crohn's disease was complicated with intra-abdominal fistulas involving the upper gastrointestinal tract (duodenocolic, gastrocolic) and an intra-peritoneal abscess formation in the lesser sac. We describe the clinical presentation and therapeutic management of the patient including both medical treatment and surgical intervention. Despite intense medical treatment with total parenteral nutrition, antibiotics, aminosalicylates and corticosteroids the clinical course of the disease was suboptimal. Finally, the patient underwent laparotomy and right hemi-colectomy with ileo-transverse anastomosis performed, with simultaneous drainage of the abdominal abscess and primary closure of the upper gastrointest...Continue Reading
References
Oct 1, 1992·Journal of Clinical Gastroenterology·L S PichneyS M Graham
May 1, 1998·Journal of Clinical Gastroenterology·S A ShahJ A Pallotta
Oct 27, 1998·Diseases of the Colon and Rectum·T YamamotoM R Keighley
Feb 21, 2002·Inflammatory Bowel Diseases·Cynthia Levy, William J Tremaine
May 23, 2003·Gastroenterology·Daniel H Present
Apr 2, 2004·The American Journal of Gastroenterology·Mansour A ParsiAaron Brzezinski
May 18, 2005·Internal Medicine·Taku InokuchiTetsuya Yamamoto
Jan 21, 2006·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·H LeeJ C Rhee
Nov 30, 2006·Gastroenterology Clinics of North America·Mark T Osterman, Gary R Lichtenstein
Dec 21, 2006·Digestive Diseases and Sciences·Ihab I El-HajjKassem A Barada
Mar 29, 2007·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Lisa S Poritz, Walter A Koltun
Oct 31, 2007·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jonathan P Terdiman
Feb 16, 2008·Internal Medicine·Norimitsu UzaTsutomu Chiba
Citations
Jul 17, 2013·Internal Medicine·Masayuki SawaguchiHirosato Mashima
Oct 9, 2014·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Samuel Harkin, Sivakumar Gananadha
Aug 10, 2012·Journal of Clinical Gastroenterology·Song LiuJieshou Li