Enterovenous fistula: unusual complication of Crohn disease.
An unusual complication in a patient with Crohn enterocolitis is presented. Ultrasound and computed tomographic studies showed stationary gas in the portal vein, and a presumptive diagnosis of septic ascending portal thrombophlebitis was made. Emergency laparotomy was performed and the terminal ileum was excised for recurrent Crohn disease. Pathologic examination showed a fistula from the lumen of the inflamed segment to the superior mesenteric venous system. Autopsy 1 month later showed organizing thrombi and fecal debris in the portal venules.
Ajzen
S A
SA
Department of Radiology, Vancouver General Hospital, British Columbia, Canada.
Gibney
R G
RG
Cooperberg
P L
PL
Scudamore
C H
CH
Miller
R R
RR
D003424:Crohn Disease / Q000150:complications*; D006801:Humans; D007412:Intestinal Fistula / Q000209:etiology*; D008297:Male; D008642:Mesenteric Veins; D008875:Middle Aged