TWO CASES OF ENTEROVESICAL FISTULA ASSOCIATED WITH CROHN'S DISEASE DIAGNOSED PREOPERATIVELY AND TREATED

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  • HATA Masaki
    Department of Coloproctological Surgery, Juntendo University School of Medicine
  • NIWA Koichiro
    Department of Coloproctological Surgery, Juntendo University School of Medicine
  • GOTO Michitoshi
    Department of Coloproctological Surgery, Juntendo University School of Medicine
  • TANAKA Masanobu
    Department of Coloproctological Surgery, Juntendo University School of Medicine
  • TOMIKI Yuichi
    Department of Coloproctological Surgery, Juntendo University School of Medicine
  • SAKAMOTO Kazuhiro
    Department of Coloproctological Surgery, Juntendo University School of Medicine

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  • 術前に診断した回腸膀胱瘻を伴うＣｒｏｈｎ病の２例

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Abstract

Crohn's disease is an inflammatory disease that repeatedly recurs and causes internal/external fistula formation. We encountered two patients with Crohn's disease showing an ileovesical fistula.<br> Patient 1, a 36-year-old male, developed abdominal pain, fever, pneumaturia, and fecaluria. He was diagnosed as having Crohn's disease at 19 years old. Cystoscopy revealed fecal inflow from the anterior wall of the bladder. Contrast studies of the small intestine showed an ileovesical fistulation. Partial vesical resection and partial iliac resection with the involved segment of the fistula were performed.<br> Patient 2, a 34-year-old male, developed lower abdominal pain, fever, and fecaluria. He was diagnosed as having Crohn's disease at 27 years old. Abdominal CT revealed an area of dense air in the bladder. Contrast studies of the small intestine showed an ileovesical fistulation. There was stenosis of the sigmoid colon due to Crohn's disease, and partial vesical resection, partial iliac resection with the involved segment of the fistula and partial resection of the sigmoid colon were performed.

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