Abstract
A case of ureteral obstruction due to perforation of an ileal segment, affected by Crohn's disease, into the extraperitoneal space is described. After a right hemicolectomy combined with uretero-cutaneous fistula and subsequent replacement of the ureter by ileum, the patient is in very good condition. Urinary stasis has completely ceased. The following points are of special interest:
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1.
false diagnosis of tuberculosis,
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2.
rarity of ureteral involvement in Crohn's disease,
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3.
possibility of recurrence of the disease within the ileal segment taken for ureteral replacement.
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Wehrheim, W. Crohn's disease simulating tuberculous ureteritis. International Urology and Nephrology 5, 359–362 (1973). https://doi.org/10.1007/BF02083382
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DOI: https://doi.org/10.1007/BF02083382