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Intest Res > Volume 10(4); 2012 > Article
Intestinal Research 2012;10(4):388-391.
DOI: https://doi.org/10.5217/ir.2012.10.4.388    Published online October 31, 2012.
A Case of Ulcerative Colitis Patient with Colonic Stenosis and Enterocutaneous Fistula
Seong Yeon Jeong, You Sun Kim, Kyeong Sam Ok, Sun Ok Kwon, Jin Nam Kim, Jeong Seop Moon, Yun Kyung Kang, Seong Woo Hong
Departments of Internal Medicine, Pathology and General Surgery, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea
궤양성 대장염 환자에서 발생한 대장협착과 장피누공
정성연, 김유선, 옥경삼, 권선옥, 김진남, 문정섭, 강윤경, 홍성우
Abstract
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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