Usefulness of multi-slice CT in a case with internal fistulas in Crohn's disease.
A case of Crohn's disease with an ileo-ileo fistula, ileal strictures and an ileo-cyst fistula is reported. Laparoscopic operation that included partial ileoectomy, ileal stricturoplasty and dissection of the ileo-cyst fistula was performed. Multi-slice computed tomography (MSCT) that was performed before the operation showed an ileo-cyst fistula that was not detected by small bowel follow-through or MRI. In this case, MSCT, including multi-planar reconstruction images, was significantly useful for evaluation of internal fistulas in Crohn's disease.
Oshima
Go
G
Department of Surgery, Eiju General Hospital, 2-23-16 Higashiueno, Taitouku, Tokyo 110-8645, Japan.
Itano
Osamu
O
Matsui
Hideo
H
Chiba
Naokazu
N
Ishikawa
Hideki
H
Koyama
Yasumasa
Y
Miyakita
Makoto
M
Yuasa
Yuji
Y
D000328:Adult; D003424:Crohn Disease / Q000150:complications*; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging*; D007412:Intestinal Fistula / Q000000981:diagnostic imaging*; D008279:Magnetic Resonance Imaging; D008297:Male; D014057:Tomography, X-Ray Computed / Q000379:methods*