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Crohn's disease presenting as enterovesical fistula
Paul Cullis1, Dhanya Mullassery, Colin Baillie
1Department of Paediatric Surgery, Alder Hey Children's Hospital NHS Trust, Liverpool, UK.
BMJ Case Reports
|November 20, 2013
Summary
Enterovesical fistulae, rare in Crohn's disease, can be the first sign in children. Early diagnosis and surgical treatment with immunomodulators are crucial for managing this condition.
Area of Science:
- Pediatric Gastroenterology
- Surgical Gastroenterology
Background:
- Enterovesical fistulae are uncommon complications of Crohn's disease.
- Crohn's disease is a chronic inflammatory bowel condition affecting the digestive tract.
Observation:
- This report details the first pediatric case of an enterovesical fistula as the initial presentation of Crohn's disease.
- The child presented with urinary symptoms and inadequate weight gain.
Findings:
- Enterovesical fistula in pediatric Crohn's disease requires prompt diagnosis.
- Management involves surgical resection combined with immunomodulatory therapy.
Implications:
- Highlights the importance of considering Crohn's enterovesical fistula in pediatric patients with unexplained urinary symptoms and poor weight gain.
- Emphasizes the need for heightened clinical awareness among healthcare providers regarding rare presentations of pediatric Crohn's disease.
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