title: Crohn's disease presenting with Fournier's gangrene and enterovesical fistula.
abstract: Our purpose is to make a case for early operative intervention. A 37-year-old man presented with a large periurethral abscess and Fournier's gangrene. During the ensuing evaluation and treatment, he was found to have previously undiagnosed Crohn's disease with a complex enterovesical fistula. This case stands in contrast to other reports that downplay the morbidity of enterovesical fistula associated with Crohn's disease and advise medical management until gastrointestinal complications require operative intervention.
authors.affiliation: Department of Surgery, Naval Medical Center, San Diego, California 92134-5000, USA.
authors.forename: H A
authors.initials: HA
authors.lastname: Brings
authors.forename: R
authors.initials: R
authors.lastname: Matthews
authors.forename: J
authors.initials: J
authors.lastname: Brinkman
authors.forename: J
authors.initials: J
authors.lastname: Rotolo
mesh_terms: D018784:Abdominal Abscess / Q000150:complications / Q000601:surgery; D000328:Adult; D003108:Colonic Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D018934:Fournier Gangrene / Q000150:complications* / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D008297:Male; D014057:Tomography, X-Ray Computed; D001747:Urinary Bladder Fistula / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery