Abstract
Unilateral hydronephrosis can complicate a far from negligible number of patients with Crohn's disease. Bilateral hydronephrosis associated with Crohn's disease is a much more unusual entity. In the other hand, the treatment for this condition is still controversial. We present the case of a 44 year old female with several bowel obstruction episodes caused by ileocolic Crohn's disease. During the last episode she was also diagnosed of bilateral hydroureter and hydronephrosis. After the resolution of the bowel obstruction and the placement of a double J catheter in both ureters, the patient was operated. Ileocolic resection and bilateral ureterolysis with omental wrapping were performed. Although urinary and wound infection complicated the postoperative course, and a enterocutaneous fistula had to be medically treated one year later, the patient is now free of symptoms and her renal function is normal.
Publication types
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Case Reports
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English Abstract
MeSH terms
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Adrenal Cortex Hormones / therapeutic use
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Adult
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Anti-Bacterial Agents
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Antibodies, Monoclonal / therapeutic use
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Colonic Diseases / complications*
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Colonic Diseases / drug therapy
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Colonic Diseases / surgery
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Combined Modality Therapy
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Constriction, Pathologic
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Crohn Disease / complications*
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Crohn Disease / drug therapy
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Crohn Disease / surgery
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Cutaneous Fistula / drug therapy
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Cutaneous Fistula / etiology
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Drug Therapy, Combination / therapeutic use
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Female
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Humans
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Hydronephrosis / etiology*
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Hydronephrosis / surgery
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Ileal Diseases / complications*
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Ileal Diseases / drug therapy
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Ileal Diseases / surgery
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Infliximab
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Intestinal Obstruction / etiology
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Intestinal Obstruction / therapy
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Omentum / surgery
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Postoperative Complications / etiology
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Rectal Fistula / drug therapy
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Rectal Fistula / etiology
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Surgical Flaps
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Ureter / surgery*
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Urinary Catheterization
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Urinary Tract Infections / drug therapy
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Urinary Tract Infections / etiology
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Vaginal Fistula / drug therapy
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Vaginal Fistula / etiology
Substances
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Adrenal Cortex Hormones
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Anti-Bacterial Agents
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Antibodies, Monoclonal
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Infliximab