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Left hydronephrosis caused by Crohn disease successfully treated conservatively.
1Department of Internal Medicine C, Rambam Medical Center and Faculty of Medicine, Technion, Israel Institute of Technology, Haifa. mdhaim@tx.technion.ac.il
The American Journal of the Medical Sciences
|November 4, 2000
Summary
Crohn disease can cause ureteral obstruction, even on the left side, leading to kidney damage. Conservative treatment with medication is effective for managing this rare complication.
Area of Science:
- Gastroenterology
- Urology
Background:
- Crohn disease is a chronic inflammatory bowel disease.
- Ureteral obstruction is a rare but serious complication.
Observation:
- A 35-year-old man with Crohn disease presented with left abdominal mass, fever, and diarrhea.
- The mass caused left ureteral obstruction, leading to hydroureter and hydronephrosis.
Findings:
- Diagnostic studies confirmed Crohn disease and the ureteral obstruction.
- The patient responded well to conservative treatment with corticosteroids and mesalamine.
Implications:
- This case highlights left-sided ureteral obstruction as a Crohn disease complication.
- Conservative management may be a viable alternative to surgery in select cases.