Left hydronephrosis caused by Crohn disease successfully treated conservatively.
We report the case of a 35-year-old man who presented with fever, diarrhea, and a left abdominal mass. Diagnostic studies confirmed Crohn disease and revealed an abdominal mass obstructing the left ureter with hydroureter and hydronephrosis. The patient was successfully treated conservatively, with corticosteroids and mesalamine, A review of the literature indicates a predominance of right ureteral involvement in Crohn disease, associated with a high incidence of ileocecal disease. Most of these patients were treated surgically, with resection of ileocecal lesion and/or ureterolysis. Ureteral obstruction as a complication of Crohn disease is discussed, with emphasis on conservative treatment.
Ben-Ami
H
H
Department of Internal Medicine C, Rambam Medical Center and Faculty of Medicine, Technion, Israel Institute of Technology, Haifa. mdhaim@tx.technion.ac.il
Lavy
A
A
Behar
D M
DM
Ginesin
Y
Y
Fischer
D
D
Edoute
Y
Y
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use*; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D003424:Crohn Disease / Q000150:complications* / Q000188:drug therapy; D006801:Humans; D006854:Hydrocortisone / Q000031:analogs & derivatives* / Q000627:therapeutic use; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D008297:Male; D019804:Mesalamine / Q000627:therapeutic use; D009403:Nephrostomy, Percutaneous; D015607:Stents; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000150:complications / Q000209:etiology / Q000601:surgery
D000893:Anti-Inflammatory Agents; D000894:Anti-Inflammatory Agents, Non-Steroidal; D019804:Mesalamine; C007133:hydrocortisone hemisuccinate; D006854:Hydrocortisone