[Ureteral obstruction and Crohn's disease].
Noncalculous ureteral obstructions in Crohn's disease are often asymptomatic and unidentified. Occurring in about 3% of patients, they occur on the right side in more than 70% of cases, because of frequently associated ileocecal disease. If they are associated with inflammation or fibrosis of retroperitoneal periureteral fat nephrectomy may become necessary. Conservative treatment should be considered first, with urine drainage (ureteral stent, or percutaneous nephrostomy), diet, and corticotherapy. However bowel resection is often necessary during follow up. If this fails to cure the ureteral obstruction, ureterolysis should be performed. We report the case of a 32 year old woman with noncalculous ureteral obstruction revealing Crohn's disease.
Gaujoux
Sébastien
S
Service de chirurgie viscérale et digestive, Centre Hospitalier de Longjumeau, 159 rue du président François Mitterrand, 91164 Longjumeau Cedex.
Couchard
Anne-Cécile
AC
Al Youssef
Joseph
J
Paquet
Jean-Christophe
JC
D000328:Adult; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis; D005260:Female; D006801:Humans; D014517:Ureteral Obstruction / Q000209:etiology*