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[Enterovesical fistula in Crohn disease. An infrequent presentation]
R Quintero Rodríguez1, P Guerrero Jiménez, E Vilches Cocovi
1Servicio de Urología, Hospital Universitario de Valme, Sevilla, España.
Archivos Espanoles De Urologia
|June 1, 1994
Summary
This case study highlights an enterovesical fistula in Crohn's disease presenting solely with urinary symptoms. It discusses the clinical aspects and management of this rare presentation.
Area of Science:
- Gastroenterology
- Urology
Background:
- Crohn's disease is a chronic inflammatory bowel condition.
- Enterovesical fistula is a rare complication of Crohn's disease, often presenting with gastrointestinal and urinary symptoms.
Observation:
- A patient with Crohn's disease presented with urinary symptoms as the sole manifestation of an enterovesical fistula.
- The patient had no prior diagnosis of gastrointestinal disorders, complicating initial assessment.
Findings:
- This case illustrates that enterovesical fistulas in Crohn's disease can present atypically, with urinary symptoms dominating the clinical picture.
- Diagnostic challenges arise when patients lack a known history of IBD.
Implications:
- Highlights the importance of considering Crohn's disease in patients with unexplained urinary symptoms, even without a prior GI diagnosis.
- Emphasizes the need for thorough gastrointestinal evaluation in complex urological cases.
- Informs clinical practice regarding the diverse presentations of enterovesical fistulas in Crohn's disease.