%0 Journal Article
%T Enterourachal Fistula as an Initial Presentation in Crohn Disease
%A Ali Salar Khalili
%A Ramy Sabe
%A Senthilkumar Sankararaman
%A Thomas J. Sferra
%J Archive of "Pediatric Gastroenterology, Hepatology & Nutrition".
%D 2019
%R 10.5223/pghn.2019.22.1.90
%X Crohn disease has a wide spectrum of clinical presentations and rarely can present with complications such as a bowel stricture or fistula. In this case report, we describe a 17-year-old male who presented with a history of recurrent anterior abdominal wall abscesses and dysuria. He was diagnosed with Crohn disease and also found to have a fistulous communication between the terminal ileum and a patent urachus. An ileocecectomy with primary anastomosis and complete resection of the abscess cavity was performed. He is on azathioprine for maintenance therapy and currently in remission. Clinicians should have a high index of suspicion for this complication in Crohn disease patients presenting with symptoms suggestive of urachal anomalies such as suprapubic abdominal pain, dysuria, umbilical discharge, and periumbilical mass
%K Crohn disease
%K Inflammatory bowel diseases
%K Intestinal fistula
%K Urachus
%U https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6333586/