[Bilateral hydronephrosis secondary to ileocolic Crohn's disease].
Unilateral hydronephrosis can complicate a far from negligible number of patients with Crohn's disease. Bilateral hydronephrosis associated with Crohn's disease is a much more unusual entity. In the other hand, the treatment for this condition is still controversial. We present the case of a 44 year old female with several bowel obstruction episodes caused by ileocolic Crohn's disease. During the last episode she was also diagnosed of bilateral hydroureter and hydronephrosis. After the resolution of the bowel obstruction and the placement of a double J catheter in both ureters, the patient was operated. Ileocolic resection and bilateral ureterolysis with omental wrapping were performed. Although urinary and wound infection complicated the postoperative course, and a enterocutaneous fistula had to be medically treated one year later, the patient is now free of symptoms and her renal function is normal.
Palma Carazo
F
F
Servicio de Cirugía General y Aparato Digestivo, Hospital Costal de Sol. Marbella, Málaga.
Marchal Escalona
C
C
De Sola Earle
C
C
González Chamorro
A
A
Bercedo Martínez
J
J
Gándara Adán
N
N
D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D000328:Adult; D000900:Anti-Bacterial Agents; D000911:Antibodies, Monoclonal / Q000627:therapeutic use; D003108:Colonic Diseases / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D003131:Combined Modality Therapy; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D017577:Cutaneous Fistula / Q000188:drug therapy / Q000209:etiology; D004359:Drug Therapy, Combination / Q000627:therapeutic use; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology* / Q000601:surgery; D007077:Ileal Diseases / Q000150:complications* / Q000188:drug therapy / Q000601:surgery; D000069285:Infliximab; D007415:Intestinal Obstruction / Q000209:etiology / Q000628:therapy; D009852:Omentum / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology; D012003:Rectal Fistula / Q000188:drug therapy / Q000209:etiology; D013524:Surgical Flaps; D014513:Ureter / Q000601:surgery*; D014546:Urinary Catheterization; D014552:Urinary Tract Infections / Q000188:drug therapy / Q000209:etiology; D014624:Vaginal Fistula / Q000188:drug therapy / Q000209:etiology
D000305:Adrenal Cortex Hormones; D000900:Anti-Bacterial Agents; D000911:Antibodies, Monoclonal; D000069285:Infliximab