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[Crohn's disease complicated with squamous cell carcinoma originating from an enterocutaneous fistula:a case report].
Nihon Shokakibyo Gakkai Zasshi
January 2025
Department of Pathology, Yokohama Municipal Citizen's Hospital.
This case report describes Crohn's disease complicated by squamous cell carcinoma in an enterocutaneous fistula. A 48-year-old male patient was diagnosed with Crohn's disease 24 years ago and has undergone five surgical operations. An enterocutaneous fistula originated from the midline abdominal wound 11 years after the onset.
View Article and Find Full Text PDFA 36-Year-Old Patient With Crohn Disease and Bilateral Pleural Effusions.
Chest
December 2024
Division of Pulmonary, Critical Care and Sleep Medicine, University of California at Davis, Sacramento, CA.
A 36-year-old man with severe Crohn disease complicated by urethral strictures and enterocutaneous and enterovesicular fistulas presented for several weeks of poor appetite, weight loss, failure to thrive, and newly worsening altered mentation. Further history revealed he chronically did not urinate through his urethra, but rather "leaked" through multiple enterocutaneous fistulas in his abdomen and perineum. Medications included ustekinumab (anti-IL12/IL23 monoclonal antibody) for Crohn disease, methadone, and hydrocodone.
View Article and Find Full Text PDFRisk factors for anastomotic complications after elective intestinal resection in Crohn's disease.
Turk J Surg
June 2024
Department of General Surgery, Marmara University Faculty of Medicine, İstanbul, Türkiye.
Objectives: Anastomotic leaks are the most feared complications after surgery in patients with Crohn's disease. Identifying associated risk factors is crucial for prevention. We aimed to evaluate possible risk factors for anastomotic complications in our case series.
View Article and Find Full Text PDFUse of parenteral nutrition in the management of enterocutaneous fistula.
Nutr Clin Pract
February 2025
Department of Surgery, Denver Health Medical Center, University of Colorado, Denver, Colorado, USA.
Nutrition plays an integral role in the management of patients with enterocutaneous fistula (ECF), but practice guidelines are often vague because of limited evidence. As a result, clinicians must rely on expert consensus and sound nutrition principles to guide practice. The initial phase of ECF management involves recognition (eg, fistula location and quantifying output) and stabilization (eg, source control and fluid and electrolyte balance).
View Article and Find Full Text PDFThe improvement of a refractory enterocutaneous fistula with colchicine in a patient with Crohn's disease who had an MEFV gene mutation.
Clin J Gastroenterol
November 2024
Department of Gastroenterology and Hepatology, Sapporo Medical University School of Medicine, Chuo-Ku Sapporo, Hokkaido, S1W16060-8543, Japan.
Enterocutaneous fistulas (ECFs) occurring in the setting of Crohn's disease (CD) are difficult to cure with medical treatment alone and affects a patient's quality of life. A 39-year-old man was diagnosed with an ileocolitis-type CD in 2007. His inflammation was insufficiently controlled despite the administration of an anti-tumor necrosis factor-alpha antibody.
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