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[Ileovesical fistula in Crohn's disease (author's transl)]
MMW, Munchener Medizinische Wochenschrift
|November 9, 1979
Insights
Ileovesical fistulae, rare in Crohn's disease, present with symptoms like pneumaturia and fecaluria. Surgical resection of affected intestine and bladder offers effective treatment and healing for this condition.
Area of Science:
- Gastroenterology and Urology
- Surgical Pathology
Background:
- Ileovesical fistulae are uncommon complications of Crohn's disease.
- These fistulae can manifest at any disease stage and in patients of all ages.
Observation:
- Key diagnostic indicators include pneumaturia (air in urine) and fecaluria (feces in urine).
- Cystoscopy and cystography are crucial diagnostic tools for identifying these fistulae.
Findings:
- Surgical intervention involving resection of the involved intestinal segment and partial bladder resection is the preferred treatment.
- This surgical approach has demonstrated successful healing in cases of ileovesical fistulae.
Implications:
- Highlights the importance of recognizing specific urinary symptoms in Crohn's patients.
- Emphasizes surgical management as the definitive treatment for ileovesical fistulae.
- Contributes to understanding the management of complex gastrointestinal-urinary tract complications.
Abstract:
Ileovesical fistulae are rare in Crohn's disease and may occur at any age and any stage of the disease. Typical diagnostic pointers are pneumaturia and fecaluria. Cystoscopy and the cystogram are important pointers to the diagnosis. Resection of the intestine and partial resection of the urinary bladder is the treatment of choice and leads to healing, as is demonstrated in the discussion of a case.