Cologastric fistula with a foreign body in a patient with Crohn's disease.
Although the medical management of fistulizing Crohn's disease is improving, a subset of patients does not respond to maximal medical therapy and is referred for surgical consultation. We report a case of Crohn's colitis with an ingested foreign body resulting in a cologastric fistula. The patient underwent segmental colectomy and takedown of the cologastric fistula. At the time of laparotomy, the foreign body was found in the fistulous colonic segment. The presence of an ingested foreign body likely contributed to a rare fistula that was refractory to medical management.
McGillicuddy
Edward A
EA
Department of Surgery, Yale University School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. edward.mcgillicuddy@yale.edu
Chaar
Cassius Iyad Ochoa
CI
Flynn
Christopher
C
Villalona
Gustavo
G
Longo
Walter E
WE
D003424:Crohn Disease / Q000473:pathology*; D005547:Foreign Bodies / Q000473:pathology*; D005747:Gastric Fistula / Q000473:pathology*; D006801:Humans; D007412:Intestinal Fistula / Q000473:pathology*; D008297:Male; D055815:Young Adult