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Rectalepidural fistula complicating Crohn's enterocolitis.
Diseases of the Colon and Rectum
|September 1, 1983
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.
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.