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Crohn's Disease Complicated with Duodenocolic Fistula: A Case Report
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Meng-Tzu Weng, Shu-Chen Wei, Yu-Wen Tien, I-Lun Shih, Jau-Min Wong
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Intest Res 2013;11(4):299-302. Published online October 30, 2013
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DOI: https://doi.org/10.5217/ir.2013.11.4.299
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 Abstract
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- Fistula formation is common during the course of Crohn's disease, whereas duodenocolic fistulas are very rare. The management of internal fistulas in Crohn's disease is a complex issue. Herein, we report a case of duodenocolic fistula manifested by increasing frequency of diarrhea and loss of body weight. The fistula was diagnosed by upper gastrointestinal tract barium series, magnetic resonance enterography, and panendoscopy and was treated with a right hemicolectomy and Whipple procedure because of the simultaneous occurrence of pancreatic head tumor. Subsequent treatment with adalimumab, azathioprine, and mesalazine was prescribed for the maintenance of disease remission, and the patient was well until 18 months after the surgery. (Intest Res 2013;11:299-302)
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Citations
Citations to this article as recorded by  - Transverse Colonic Stricture Along with Colo-Duodenal Fistula—a Rare and Interesting Finding in Crohn’s Disease
Vivek Agrawal, Raghav Nayar, Md Faizul Haque
Indian Journal of Surgery.2018; 80(5): 527. CrossRef
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