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Related Experiment Videos

Rectalepidural fistula complicating Crohn's enterocolitis.

D West, T R Russell, M Brotman

    Diseases of the Colon and Rectum
    |September 1, 1983
    PubMed
    Summary

    A rare complication of Crohn's disease, a rectal-epidural fistula, caused sepsis and meningeal signs. This case highlights the importance of considering unusual presentations in patients with inflammatory bowel disease.

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    Area of Science:

    • Gastroenterology
    • Infectious Disease
    • Neurosurgery

    Background:

    • Crohn's disease is a chronic inflammatory bowel disease that can lead to various complications.
    • Internal fistulation is a known complication, but rectal-epidural fistula is exceptionally rare.

    Observation:

    • A patient with Crohn's enterocolitis and internal fistulation presented with fever, sepsis, and meningeal signs.
    • Computed axial tomography revealed epidural air in the lumbosacral region, suggesting a fistula.

    Findings:

    • A presumptive diagnosis of a rectal-epidural fistula was established.
    • Surgical intervention included a sigmoid colostomy and presacral drainage.

    Implications:

    • This case underscores the importance of recognizing rare complications of Crohn's disease.
    • Early diagnosis and surgical management are crucial for favorable outcomes in such complex cases.

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