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Crohn’s disease presenting as a ceco-urachal fistula

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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.

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Authors and Affiliations

  1. Department of Surgery, Jichi Medical University, 3311-1 Yakushiji, Shimotsuke, Tochigi, 329-0498, Japan

    Hidenori Tsukui, Koji Koinuma, Mitsuaki Morimoto, Hisanaga Horie, Alan Kawarai Lefor & Naohiro Sata

  2. Division of Gastroenterology, Department of Medicine, Jichi Medical University, Tochigi, Japan

    Yuka Kagaya, Haruo Takahashi, Tomonori Yano & Hironori Yamamoto

  3. Diagnostic Pathology, Jichi Medical University, Tochigi, Japan

    Daisuke Matsubara

Authors
  1. Hidenori Tsukui
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  2. Koji Koinuma
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  3. Mitsuaki Morimoto
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  4. Hisanaga Horie
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  5. Alan Kawarai Lefor
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  6. Yuka Kagaya
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  7. Haruo Takahashi
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  8. Tomonori Yano
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  9. Daisuke Matsubara
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  10. Hironori Yamamoto
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  11. Naohiro Sata
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Corresponding author

Correspondence to Hidenori Tsukui.

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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.

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

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Tsukui, H., Koinuma, K., Morimoto, M. et al. Crohn’s disease presenting as a ceco-urachal fistula. Clin J Gastroenterol 10, 32–36 (2017). https://doi.org/10.1007/s12328-016-0691-2

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  • DOI: https://doi.org/10.1007/s12328-016-0691-2

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