Enterosalpingeal fistula complicating Crohn’s disease: report of two cases and review of the literature
Introduction
Fistulae represent a common complication of Crohn’s disease that occurs in about 30% of patients [1]. It is an abnormal communication between the gut and adjacent organs or abdominal wall. The most frequent fistulae are enterocolic and enteroenteric [1]. Reports of enterogenital fistulae are scars. Herein, we report two cases of enterosalpingeal fistulae complicating Crohn’s disease.
Case 1
The first patient was fifty-year-oldfifty years old, with a past medical history of ileocecal Crohn’s disease. She was admitted ininto our department for bowel obstruction. On physical examination, the patient had a mass in the right fossa iliaca. Routine biology tests were normal. Abdominal CT-scan (Figure 1) showed a severe stenosis of the last ileal loop, causing intestinal distension. Sclerolipomatosis and mesenteric adenopathies were present. CT also showed a markedly thickened right fallopian tube having an abnormal contact with the last loop. Conservative management was successfully conducted. Barium meal (Figure 2) revealed a stenosis of the last lootloop and presence of contrast fluid in the right fallopian tube. Hysterosalpingography (Figure 2) showed an opacification of the ascending colon.
The text above was approved for publishing by the original author.
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