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Updated: Aug 2, 2025

Colonial Wig Pancreaticojejunostomy
Published on: March 12, 2019
"Not All That Fistulizes Is Crohn's Disease": A Rare Case of Ischemic Jejunocolic Fistula
Khushboo Gala1, Wissam Ghusn1,2, Victor Chedid1
1Division of Gastroenterology and Hepatology, Department of Medicine, Mayo Clinic, Rochester, MN.
Abstract:
Enterocolic fistulae lead to abnormal diversion of gastrointestinal contents from the small intestine to the colon, causing diarrhea and protein energy malnutrition. We describe a rare case of a 40-year-old patient presenting with chronic diarrhea, unintentional weight loss, sitophobia, and severe abdominal pain in the setting of extensive thrombosis due to JAK2 V617F mutant disorder and associated tobacco use. Computed tomography enterography demonstrated an enterocolic fistula (jejunum to cecum), and a colonoscopy confirmed a 4 mm fistula in the cecum. The patient was nutritionally optimized with plans for a surgical fistula takedown in the future.
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