title: Minimally invasive management of Crohn's disease complicated by ureteral stenosis.
abstract: Ureteral involvement due to Crohn's disease occurs in 3% to 6% of cases. Herein, we present a case of a 22-year-old woman with ileocolic Crohn's disease with right hydronephrosis due to compression of the ureter that was resolved with a 3-stage, minimally invasive procedure (preoperative percutaneous nephrostomy, ureteral stent placement, and sequential laparoscopically assisted ileocolectomy). Percutaneous right nephrostomy drainage permitted us to prevent renal damage before surgery, and successive ureteral double-J catheter placement minimized the risk of ureteral damage during the laparoscopic procedure. The safety and feasibility of sequential minimally invasive management of ileocolonic Crohn's disease involving the right ureter was assessed, and a good cosmetic result was achieved.
authors.affiliation: Department of Surgical and Gastroenterological Sciences, Clinica Chirurgica I, University of Padova, Padova, Italy. cruffolo@hotmail.com
authors.forename: Cesare
authors.initials: C
authors.lastname: Ruffolo
authors.forename: Imerio
authors.initials: I
authors.lastname: Angriman
authors.forename: Marco
authors.initials: M
authors.lastname: Scarpa
authors.forename: Lino
authors.initials: L
authors.lastname: Polese
authors.forename: Michela
authors.initials: M
authors.lastname: Barollo
authors.forename: Matteo
authors.initials: M
authors.lastname: Bertin
authors.forename: Duilio
authors.initials: D
authors.lastname: Pagano
authors.forename: Davide Francesco
authors.initials: DF
authors.lastname: D'Amico
mesh_terms: D000328:Adult; D003082:Colectomy; D003251:Constriction, Pathologic; D003424:Crohn Disease / Q000150:complications / Q000601:surgery*; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D009403:Nephrostomy, Percutaneous; D019919:Prosthesis Implantation; D015607:Stents; D016896:Treatment Outcome; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery*