Colocutaneous fistula in Crohn's disease

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Known patient with Crohn’s disease underwent many operations. Faecal material comes from the infraumbilical opening.

Patient Data

Age: 45 years old
Gender: Male

 

Direct injection of contrast via syringe through the opening at the operative site within the anterior abdominal wall. It leads to passage of contrast directly to the descending colon denoting colocutaneous fistula.

Metal clips are noted 

Crowding of bowel loops are seen at operation site.

Bilateral renal calculi are seen.

Pancreas also shows fat infiltration.

Excessive fat is seen in abdomen and pelvis around rectum and urinary bladder giving the appearance of lipomatosis.

Case Discussion

Colocutaneous fistula in patient with Crohn's disease.

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Case information

rID: 29586
Case created: 6th Jun 2014
Last edited: 14th Mar 2016
Inclusion in quiz mode: Included

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