Surgery is Indicated for Persistent Enterocutaneous Fistulizing Crohn’s Disease

Judith E. Baars; Ernst J. Kuipers; Herman van Dekken; C. Janneke van der Woude

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Clinical Medicine Insights: Gastroenterology

Surgery is Indicated for Persistent Enterocutaneous Fistulizing Crohn’s Disease

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Judith E. Baars, Ernst J. Kuipers, Herman van Dekken and C. Janneke van der Woude

Clinical Medicine Insights: Gastroenterology 2008:1 1-3

Published on 26 Mar 2008

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Judith E. Baars¹, Ernst J. Kuipers¹, Herman van Dekken² and C. Janneke van der Woude¹

¹Department of Gastroenterology and Hepatology, Erasmus MC, Rotterdam, The Netherlands. ²Department of Pathology, Erasmus MC, Rotterdam, The Netherlands.

Abstract

We describe a patient with Crohn’s disease who presented with a persistent enterocutaneous fistula. Colonoscopy showed no abnormalities in the terminal ileum and cecum. The patient was treated with corticosteroids and azathioprine for Crohn’s disease. The fistula responded partially to therapy. Surgery was performed and revealed a well-differentiated adenocarcinoma, originating from the fistulous tract. In persistent enterocutaneous fistulae surgery is indicated and could keep us from shocking surprises.

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