Enterovesical fistula in Crohn's disease causing a view similar to bladder tumor

Yıl 2012, Cilt: 11 Sayı: 3, - , 01.12.2012

Zülfükar Bilge Bilge Tunç Serkan Torun Hakan Yıldız Nurettin Suna Yasemin Özderin Özin Nurgül Şaşmaz

Öz

Crohn's disease is of unknown origin and may involve the gastrointestinal tract from the mouth to the anus. The course of this disease may be inflammatory or cause stricturing or fistulas. The majority of fistulas in Crohn's disease are in the perianal region. Rarely, fistulas in Crohn's disease can be enterovesical, which may cause urinary tract infection, pneumaturia and fecaluria. It can sometimes lead to bladder inflammatory masses. Especially in patients with a history of rheumatic disease, such as ankylosing spondylitis, and in the presence of findings suggestive of enterovesical fistula, such as fecaluria and pneumaturia, Crohn's disease should be considered

Anahtar Kelimeler

Crohn's disease, bladder tumor, enterovesical fistula

Mesane tümörü benzeri görünüme yol açan enterovezikal fistüllü bir Crohn vakası

Öz

Crohn hastalığı ağızdan perianal bölgeye kadar tüm gastrointestinal sistemi tutabilen, etyolojisi tam olarak bilinmeyen bir hastalıktır. Hastalı k obstrüktif stenozan ya da fistülizan şekilde seyredebilir. Crohn hastalığı nda görülen fistüllerin büyük çoğunluğu perianal bölgede olur. Enterovezikal fistüller Crohn hastalığında daha nadir görülür. Tekrarlayan üriner sistem enfeksiyonlarına, pnömatüri ve fekalüri gibi şikayetlere yol açarlar. Bazen de mesanede inşamatuvar kitlelere yol açabilirler. Özellikle ankilozan spondilit gibi romatolojik bir hastalık öyküsü olan hastalarda enterovezikal fistülü çağrıştıran pnömatüri ve fekalüri gibi şikayetlerin de varlığında Crohn hastalığı mutlaka göz önünde bulundurulmalı dır.

Anahtar Kelimeler

Crohn hastalığı, mesane tümörü, enterovezikal fistül

Kaynakça

• Sleisenger and Fordtran’s Gastrointestinal and Liver Disease. 8. Edi- tion, Chapter 108. P:2459-90.
• Silverberg MS, Satsangi J, Ahmad T, et al. Toward an integrated clinical, molecular and serological classification of inflammatory bowel disease: Report of a Working Party of the 2005 Montreal World Congress of Gastroenterology. Can J Gastroenterol 2005;19 Suppl A:5-36.
• Schwartz DA, Loftus EV Jr, Tremaine WJ, et al. The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota. Gas- troenterology 2002;122:875-80.
• Randall D, Tittle V, Wright G, Blanshard C. Crohn's disease and en- terovesical fistulae: common things are common. Br J Hosp Med (Lond) 2010;71:530-1.
• Pechan J, Pindak D, Lutter I, et al. Enterovesical fistulas in Crohn's disease. Bratisl Lek Listy 2007;108:307-8.
• Benchekroun A, el Alj HA, Zannoud M, et al. Enterovesical fistula secondary to Crohn's disease manifested by inflammatory pseudo- tumor of the bladder. Ann Urol (Paris) 2003;37:180-3. Article in French.
• Yamamoto M, Ando T, Kanai S, et al. Enterovesical fistula due to Crohn's disease masquerading as bladder tumor. Hinyokika Kiyo 1986;32:1141-3.
• Solem CA, Loftus EV Jr, Tremaine WJ, et al. Fistulas to the urinary system in Crohn's disease: clinical features and outcomes. Am J Gastroenterol 2002;97:2300-5.
• Chebli JM, Gaburri PD, Pinto JR. Enterovesical fistula in Crohn's di- sease. Lancet 2004;364:68.
• Yamamoto T, Keighley MR. Enterovesical fistulas complicating Crohn's disease: clinicopathological features and management. Int J Colorectal Dis 2000;15:211-5; discussion 216-7.
• Manganiotis AN, Banner MP, Malkowicz SB. Urologic complicati- ons of Crohn’s disease. Surg Clin North Am 2001;81:197-215. 123