[A urachus cyst revealing a torpid Crohn's disease in a young adult with chronic fever].
BACKGROUND
This case report describes a rare situation in which a superinfected cyst of the urachus complicated initially unknown and inactive Crohn's disease.


METHODS
A 21-year-old man presented a chronic fever finally attributed to a superinfected urachal cyst. Six months after ablation of the cyst, progressive Crohn's disease was diagnosed.


CONCLUSIONS
The association of Crohn's disease and a superinfected urachal cyst is extremely rare. The case reported here is original in two aspects: the slowly progressive Crohn's disease was diagnosed after its complication; the superinfection developed through local bacterial translocation (ileal loop adjacent to the urachal cyst).
Weitten
T
T
Service de médecine interne, diabète et maladies métaboliques, Hôpitaux Universitaires de Strasbourg.
Coca
C
C
Ben Abdelghani
M
M
Rohr
S
S
Boujan
E
E
Blicklé
J-F
JF
Andrès
E
E
D000328:Adult; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D019819:Budesonide / Q000627:therapeutic use; D002908:Chronic Disease; D003424:Crohn Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D018450:Disease Progression; D005334:Fever / Q000209:etiology; D006801:Humans; D008297:Male; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014496:Urachal Cyst / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery
D000893:Anti-Inflammatory Agents; D019819:Budesonide