[Rare fistulation in enterocolitis regionalis (Crohn's disease) (author's transl)].
The transmural inflammation in Crohn's disease, the variable localization of the disease and the tendency to a descending spread, all lead to a multitude of possible fistulae, the presence of which is often difficult to demonstrate. This is a report on 5 unusual fistula systems: in 2 cases entero-enteral (one of which with hydronephrosis), 1 case of rectovaginal fistula, 1 case of a branched fistula system in the right buttock, 1 case of fistulae between an abscess system in the spleen "bed" and the greater curvature of the stomach. A radiological and endoscopic diagnosis is important since surgically opened fistula systems heal only with great difficulty or not at all.
D000038:Abscess / Q000209:etiology; D000328:Adult; D012809:Colon, Sigmoid; D003108:Colonic Diseases / Q000150:complications; D003424:Crohn Disease / Q000150:complications*; D003937:Diagnosis, Differential; D005260:Female; D005402:Fistula / Q000175:diagnosis; D005747:Gastric Fistula / Q000209:etiology; D006801:Humans; D006869:Hydronephrosis / Q000150:complications; D007082:Ileum; D007410:Intestinal Diseases / Q000175:diagnosis; D007412:Intestinal Fistula / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D009135:Muscular Diseases / Q000175:diagnosis; D011859:Radiography; D012003:Rectal Fistula / Q000209:etiology; D012006:Rectovaginal Fistula / Q000209:etiology; D013158:Splenic Diseases / Q000175:diagnosis
Seltene Fistelbildungen bei Enterocolitis regionalis Crohn