Urethral fistula due to Crohn's disease. Case report of successful conservative management

被引：0
|
作者：
Schwab, C. [1 ]
Meyer, D. [1 ]
Hetzer, F. H. [2 ]
Borovicka, J. [3 ]
Schmid, H. -P. [1 ]
Engeler, D. S. [1 ]
机构：
[1] Kantonsspital, Urol Klin, CH-9007 St Gallen, Switzerland
[2] Kantonsspital, Chirurg Klin, CH-9007 St Gallen, Switzerland
[3] Kantonsspital, Fachbereich Gastroenterol, Dept Innere Med, CH-9007 St Gallen, Switzerland
来源：
UROLOGE | 2008年 / 47卷 / 10期
关键词：
Recto-urethral fistula; Crohn's disease; Azathioprine;
D O I：
10.1007/s00120-008-1765-7
中图分类号：
R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];
学科分类号：
1002 ; 100201 ;
摘要：
We report a case of a recto-urethral fistula in Crohn's disease. In our case, suprapubic cystostomy, ciprofloxacin, metronidazole, and azathioprine led to complete remission. Recto-urethral fistulas due to Crohn's disease are very uncommon. Pneumaturia, faecaluria, urinary tract infection, dysuria, and urethral discharge are the most common complaints. After complete diagnostics, immunosuppressive therapy in complicated Crohn's disease is of increasing importance. It is recommended to continue treatment after healing to prevent further complications.
引用
收藏
页码：1350 / 1352
页数：3
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