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Particularities of urological complications in Crohn's disease: Report of two cases
Taoufik Elabbassi1,2, Amine Bachar1,2, Aziz Moufakkir1,2
1Visceral Surgery Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Abstract:
Urological complications of Crohn's disease are rare, often asymptomatic and present a diagnostic problem. These complications are dominated by fistulas. The renal prognosis may be involved. We report an observation of two clinical cases with urological complications of Crohn's disease.
Case 1:
Patient aged 26 years, followed for Crohn's disease. He presented with right iliac fossa pain related to a collection responsible for right uretero-hydronephrosis. Renal scintigraphy objectified that it was a dumb right kidney.
Case 2:
Patient was 37 years old, with no history; he consulted for pollakiuria and pneumaturia. Surgical exploration showed the presence of a vesico-colic fistula. Histological examination of the fistula path was related to Crohn's disease.
Conclusion:
Urological complications of Crohn's disease are rare but can become serious, their diagnosis is difficult, sometimes these complications can be inaugural.
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