title: Cologastric fistula with a foreign body in a patient with Crohn's disease.
abstract: 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.
authors.affiliation: Department of Surgery, Yale University School of Medicine, PO Box 208062, New Haven, CT 06520-8062, USA. edward.mcgillicuddy@yale.edu
authors.forename: Edward A
authors.initials: EA
authors.lastname: McGillicuddy
authors.forename: Cassius Iyad Ochoa
authors.initials: CI
authors.lastname: Chaar
authors.forename: Christopher
authors.initials: C
authors.lastname: Flynn
authors.forename: Gustavo
authors.initials: G
authors.lastname: Villalona
authors.forename: Walter E
authors.initials: WE
authors.lastname: Longo
mesh_terms: 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