[Enterovesical fistula complicating Crohn's disease: report of two cases]. 1992

S Kawakami, and T Yamada, and T Watanabe, and T Negishi
Department of Urology, Kasukabe Municipal Hospital.

Two female patients with enterovesical fistula complicating Crohn's disease are presented. Case 1: A 40-year-old woman having a 10-year history of diarrhea presented with vesical irritability of a three months duration. Administration of antibiotics did not relieve her of the symptoms and then pneumaturia appeared. Cystoscopic examination revealed fistulous opening. Barium enema study depicted rectovesical fistula. After partial cystectomy and temporary colostomy, ileocecal lesion was shown by contrast study and resection of ileocecal segment was performed seven months later. Case 2: A 33-year-old woman presented with vesical irritability of 7 years duration and pneumaturia and fecaluria of 4 years duration. Cystoscopic examination revealed localized bullous edema but no apparent fistula. Cystography, as well as contrast studies demonstrated ileo-vesical, ileo-ascending colonic and ileo-sigmoidal fistulas. One-stage resection of diseased intestine and partial cystectomy were performed. In both cases, pathological diagnoses of Crohn's disease was made, and postoperative course was uneventful for over 10 months. Thirty eight cases of enterovesical fistula complicating Crohn's disease are reviewed.

UI MeSH Term Description Entries
D007077 Ileal Diseases Pathological development in the ILEUM including the ILEOCECAL VALVE. Disease, Ileal,Diseases, Ileal,Ileal Disease
D007412 Intestinal Fistula An abnormal anatomical passage between the INTESTINE, and another segment of the intestine or other organs. External intestinal fistula is connected to the SKIN (enterocutaneous fistula). Internal intestinal fistula can be connected to a number of organs, such as STOMACH (gastrocolic fistula), the BILIARY TRACT (cholecystoduodenal fistula), or the URINARY BLADDER of the URINARY TRACT (colovesical fistula). Risk factors include inflammatory processes, cancer, radiation treatment, and surgical misadventures (MEDICAL ERRORS). Cholecystoduodenal Fistula,Colovesical Fistula,Enterocutaneous Fistula,Fistula, Cholecystoduodenal,Fistula, Colovesical,Fistula, Enterocutaneous,Fistula, Intestinal
D012003 Rectal Fistula An abnormal anatomical passage connecting the RECTUM to the outside, with an orifice at the site of drainage. Anal Fistula,Fistula, Rectal
D001747 Urinary Bladder Fistula An abnormal passage in the URINARY BLADDER or between the bladder and any surrounding organ. Vesical Fistula,Fistula, Urinary Bladder,Fistula, Vesical,Fistulas, Urinary Bladder,Fistulas, Vesical,Urinary Bladder Fistulas,Vesical Fistulas
D003424 Crohn Disease A chronic transmural inflammation that may involve any part of the DIGESTIVE TRACT from MOUTH to ANUS, mostly found in the ILEUM, the CECUM, and the COLON. In Crohn disease, the inflammation, extending through the intestinal wall from the MUCOSA to the serosa, is characteristically asymmetric and segmental. Epithelioid GRANULOMAS may be seen in some patients. Colitis, Granulomatous,Enteritis, Granulomatous,Enteritis, Regional,Ileitis, Regional,Ileitis, Terminal,Ileocolitis,Crohn's Disease,Crohn's Enteritis,Inflammatory Bowel Disease 1,Regional Enteritis,Crohns Disease,Granulomatous Colitis,Granulomatous Enteritis,Regional Ileitides,Regional Ileitis,Terminal Ileitis
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D015653 Cystectomy Surgical removal of the full or partial removal of the URINARY BLADDER. Partial Cystectomy,Radical Cystectomy,Cystectomies,Cystectomy, Partial,Cystectomy, Radical,Partial Cystectomies,Radical Cystectomies

Related Publications

S Kawakami, and T Yamada, and T Watanabe, and T Negishi
March 1984, The American journal of gastroenterology,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
March 2024, Cureus,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
December 1979, Rozhledy v chirurgii : mesicnik Ceskoslovenske chirurgicke spolecnosti,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
January 2004, Lancet (London, England),
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
March 1999, The Journal of reproductive medicine,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
November 2013, BMJ case reports,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
September 2021, Annals of medicine and surgery (2012),
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
January 1996, Surgery today,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
December 2002, Clinical nuclear medicine,
S Kawakami, and T Yamada, and T Watanabe, and T Negishi
May 1982, Journal of surgical oncology,
Copied contents to your clipboard!