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Infliximab treatment of Crohn disease ileovesical fistula

X Gamé1, B Malavaud, L Alric

  • 1Dept. of Urology, University Hospital Rangueil, Toulouse, France. xaviergame@hotmail.com

Scandinavian Journal of Gastroenterology
|November 19, 2003
PubMed

Ileovesical fistula is a rare inaugural complication of Crohn disease. Current approaches associate antibiotics, total parenteral nutrition and various combinations of immunomodulatory agents. However, only a minority of fistulas subside under conventional treatment, as most of them ultimately require complex surgery to excise and close the structures involved. We report the case of a 31-year-old patient successfully treated by targeting the local production of tumour necrosis factor alpha with infliximab.

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