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MR enterography of ileocolovesicular fistula in pediatric Crohn disease

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Abstract

Crohn disease, a form of chronic inflammatory bowel disease is characterized by discontinuous inflammatory lesions of the gastrointestinal tract, has a variety of behavioral patterns, including penetrating or fistulous disease. While magnetic resonance enterography (MRE) excellently depicts inflamed bowel segments, it can also be used to assess for a variety of Crohn-disease-related extraintestinal complications, including fistulae. We present the MRE findings of a complex ileocolovesicular fistula in a 14-year-old boy with Crohn disease, where the fistulous tract to the urinary bladder was best delineated on precontrast T1-W imaging because of the presence of fecal material.

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Authors and Affiliations

  1. Wayne State University School of Medicine, Detroit, MI, USA

    Michelle D. Sakala

  2. Department of Radiology, C.S. Mott Children’s Hospital, Section of Pediatric Radiology, University of Michigan Health System, 1500 E. Medical Center Drive, Ann Arbor, MI, 48109, USA

    Jonathan R. Dillman & Maria F. Ladino-Torres

  3. Department of Pathology, University of Michigan Health System, Ann Arbor, MI, USA

    Jonathan B. McHugh

  4. Department of Pediatrics and Communicable Diseases, C. S. Mott Children’s Hospital, Division of Pediatric Gastroenterology, University of Michigan Health System, Ann Arbor, MI, USA

    Jeremy Adler

Authors
  1. Michelle D. Sakala
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  2. Jonathan R. Dillman
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  3. Maria F. Ladino-Torres
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  4. Jonathan B. McHugh
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  5. Jeremy Adler
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Corresponding author

Correspondence to Jonathan R. Dillman.

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Sakala, M.D., Dillman, J.R., Ladino-Torres, M.F. et al. MR enterography of ileocolovesicular fistula in pediatric Crohn disease. Pediatr Radiol 41, 663–667 (2011). https://doi.org/10.1007/s00247-010-1896-z

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  • DOI: https://doi.org/10.1007/s00247-010-1896-z

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