Cologastric fistula with a foreign body in a patient with Crohn's disease

Yale J Biol Med. 2010 Sep;83(3):113-7.

Abstract

Although the medical management of fistulizing Crohn's disease is improving, a subset of patients does not respond to maximal medical therapy and is referred for surgical consultation. We report a case of Crohn's colitis with an ingested foreign body resulting in a cologastric fistula. The patient underwent segmental colectomy and takedown of the cologastric fistula. At the time of laparotomy, the foreign body was found in the fistulous colonic segment. The presence of an ingested foreign body likely contributed to a rare fistula that was refractory to medical management.

Keywords: Crohn's disease; fistula; inflammatory bowel disease.

Publication types

  • Case Reports

MeSH terms

  • Crohn Disease / pathology*
  • Foreign Bodies / pathology*
  • Gastric Fistula / pathology*
  • Humans
  • Intestinal Fistula / pathology*
  • Male
  • Young Adult