| A Case of Ulcerative Colitis Patient with Colonic Stenosis and Enterocutaneous Fistula |
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Seong Yeon Jeong, You Sun Kim, Kyeong Sam Ok, Sun Ok Kwon, Jin Nam Kim, Jeong Seop Moon, Yun Kyung Kang, Seong Woo Hong |
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Departments of Internal Medicine, Pathology and General Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
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| 궤양성 대장염 환자에서 발생한 대장협착과 장피누공 |
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정성연, 김유선, 옥경삼, 권선옥, 김진남, 문정섭, 강윤경, 홍성우 |
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| Abstract |
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Ulcerative colitis (UC) is one of the chronic inflammatory bowel diseases (IBD), characterized by a diffuse mucosal inflammation limited to the colon. Complications of UC include stricture, colorectal cancer, and toxic colitis. UC patients rarely present with a stenosis or fistula, and strictures develop in less than 5% of patients with UC. We present a patient with UC, accompanied by unusual complications that involved not only a stricture but also a fistula and abscess. A 49-year-old female was presented with a left flank pain and fever that had begun two weeks before admission. She had received a diagnosis of UC 20 years ago and had it treated for 2 years in a local hospital. However, she arbitrarily stopped visiting the hospital and relied on home remedies. An abdominopelvic CT scan revealed luminal narrowing and extra-peritoneal fistula formation in the descending colon. Fistula was connected with a subcutaneous abscess in the left flank. She had undergone total colectomy and ileo-anal anastomosis. On the pathologic exam, the long standing UC with severe stenosis was observed without malignant change. It cannot be emphasized enough that a correct therapeutic approach and an appropriate follow-up schedule are very important for patients with UC. (Intest Res 2012;10:388-391) |
| Key Words:
Ulcerative Colitis, Stenosis, Fistula, Abscess |
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