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Clinical Journal of Gastroenterology

, Volume 10, Issue 1, pp 32–36 | Cite as

Crohn’s disease presenting as a ceco-urachal fistula

  • Hidenori TsukuiEmail author
  • Koji Koinuma
  • Mitsuaki Morimoto
  • Hisanaga Horie
  • Alan Kawarai Lefor
  • Yuka Kagaya
  • Haruo Takahashi
  • Tomonori Yano
  • Daisuke Matsubara
  • Hironori Yamamoto
  • Naohiro Sata
Case Report

Abstract

We report the case of a patient with Crohn’s disease who initially presented with a ceco-urachal fistula. The patient was a 31-year-old female who underwent an appendectomy 6 years before presenting to our institution. She had a one-year history of diarrhea, and had recently developed polyuria and a sensation of residual urine. She was admitted with fever and lower abdominal pain. Endoscopy and computed tomography revealed a ceco-urachal fistula, which was consistent with Crohn’s disease. An urachal resection was performed, which included partial cystectomy and ileocecal resection. A ceco-urachal fistula is a rare initial symptom of Crohn’s disease. During the surgical management of such cases, it is necessary to resect the urachus, the affected portion of the bladder, the fistula, and the affected part of the digestive tract in order to avoid recurrence.

Keywords

Crohn’s disease Ceco-urachal fistula Resection 

Notes

Compliance with ethical standards

Conflict of Interest:

The authors declare that they have no conflicts of interest.

Human Rights:

All procedures were performed in accordance with the ethical standards of the committees responsible for human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008.

Informed Consent:

The patient gave informed consent for the publication of the case.

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Copyright information

© Japanese Society of Gastroenterology 2016

Authors and Affiliations

  • Hidenori Tsukui
    • 1
    Email author
  • Koji Koinuma
    • 1
  • Mitsuaki Morimoto
    • 1
  • Hisanaga Horie
    • 1
  • Alan Kawarai Lefor
    • 1
  • Yuka Kagaya
    • 2
  • Haruo Takahashi
    • 2
  • Tomonori Yano
    • 2
  • Daisuke Matsubara
    • 3
  • Hironori Yamamoto
    • 2
  • Naohiro Sata
    • 1
  1. 1.Department of SurgeryJichi Medical UniversityShimotsukeJapan
  2. 2.Division of Gastroenterology, Department of MedicineJichi Medical UniversityTochigiJapan
  3. 3.Diagnostic PathologyJichi Medical UniversityTochigiJapan

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