Intest Res.  2012 Oct;10(4):388-391. 10.5217/ir.2012.10.4.388.

A Case of Ulcerative Colitis Patient with Colonic Stenosis and Enterocutaneous Fistula

• Jeong SY
• Kim YS
• Ok KS
• Kwon SO
• Kim JN
• Moon JS
• Kang YK
• Hong SW

• KMID: 2174257
• DOI: http://doi.org/10.5217/ir.2012.10.4.388

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.

Keyword

Ulcerative Colitis; Stenosis; Fistula; Abscess

MeSH Terms

Abscess
Appointments and Schedules
Colectomy
Colitis
Colitis, Ulcerative
Colon
Colon, Descending
Colorectal Neoplasms
Constriction, Pathologic
Female
Fever
Fistula
Flank Pain
Humans
Inflammation
Inflammatory Bowel Diseases
Intestinal Fistula
Medicine, Traditional
Middle Aged
Phenobarbital
Ulcer
Phenobarbital