Recurrent Crohn's disease in the ileocolonic anastomosis complicated with duodenal fistula
Închide
Conţinutul numărului revistei
Articolul precedent
Articolul urmator
181 0
SM ISO690:2012
GHIDIRIM, Gheorghe; IGNATENCO, Sergiu; MISHIN, Igor; GAGAUZ, Ion; ŢÎPLE, Ilie; CUŢITARI, Irina; ZASTAVNITSKY, Gh.. Recurrent Crohn's disease in the ileocolonic anastomosis complicated with duodenal fistula. In: Chirurgia (București, Romania). 2007, nr. 5(102), pp. 607-610. ISSN 1221-9118.
EXPORT metadate:
Google Scholar
Crossref
CERIF

DataCite
Dublin Core
Chirurgia (București, Romania)
Numărul 5(102) / 2007 / ISSN 1221-9118

Recurrent Crohn's disease in the ileocolonic anastomosis complicated with duodenal fistula

Boalǎ Crohn recidivantǎ în anastomoza ileo-colicǎ complicatǎ cu fistulǎ duodenalǎ


Pag. 607-610

Ghidirim Gheorghe12, Ignatenco Sergiu12, Mishin Igor12, Gagauz Ion12, Ţîple Ilie12, Cuţitari Irina12, Zastavnitsky Gh.12
 
1 ”Nicolae Testemițanu” State University of Medicine and Pharmacy,
2 Municipal Clinical Emergency Hospital
 
Disponibil în IBN: 17 iulie 2020


Rezumat

Duodenal fistulas in patients with Crohn's disease are rare, and up to one hundred cases were described in the medical literature. We report an additional case of a 40-year-old male who underwent an ileo-ascending colectomy 13 years ago for Crohn's disease and was admitted to our unit with palpable abdominal mass and persistent cutaneous fistula. Preoperative fistulography and barium enema demonstrated Crohn's disease recurrence in the site of the ileocolonic anastomosis and external fistula communicating with the pre-anastomotic ileum. At surgery, Crohn's disease recurrence in the site of ileocolonic anastomosis with ileo-cutaneous fistula was confirmed and an additional ileo-duodenal fistula was detected incidentally. The patient underwent resection of the affected bowel and simple closure of the duodenal fistula with omental pedicle graft transposition between the duodenum and the ileocolonic anastomosis. Postoperative period was uneventful. We review the literature and discuss the incidence and treatment strategy of duodenal fistulas complicating recurrent Crohn's disease in the site of the ileocolonic anastomosis. The authors highlight that simple closure of the duodenal defects is appropriate only for small duodenal fistulas and omental transposition between ileo-colonic anastomosis and duodenum during the primary and repeated resection should be considered as an effective prevention method of duodenal fistulas formation.



Cuvinte-cheie
adult, anastomosis, article, case report, colon, Crohn disease, duodenum disease, human, ileum, intestine fistula, Male, pathology, recurrent disease, treatment outcome