Korean J Med.  2016 Jan;90(1):41-45. 10.3904/kjm.2016.90.1.41.

Enterocolic Fistula caused by Acute Colitis in a Hemodialysis Patient

• Park HN
• Kim JA
• Choi SK
• Shin KS
• Mun YG
• Choi BM
• Kim YO

• KMID: 2268889
• DOI: http://doi.org/10.3904/kjm.2016.90.1.41

Abstract

Enterocolic fistulas are commonly associated with previous surgery, Crohn's disease, diverticulitis, radiation therapy, and malignancy. Here, we report a rare case of enterocolic fistula caused by acute colitis in a hemodialysis patient. A 62-year-old man on maintenance hemodialysis underwent a radical nephrectomy via a paramedian incision due to spontaneous right kidney rupture and was treated with prophylactic antibiotics. On the 16th day of antibiotic therapy, he complained of abdominal pain and diarrhea. Abdominal computed tomography (CT) and ascitic fluid culture revealed acute bacterial peritonitis and sigmoidoscopy showed acute colitis. After treating these diseases with adequate antibiotics, the abdominal pain and ascites were relieved, but the diarrhea persisted. Abdominal CT obtained 7 days later showed an enterocolic fistula. To our knowledge, this is the first case of enterocolic fistula due to acute colitis in Korea.

Keyword

Enterocolic fistula; Colitis; Hemodialysis

MeSH Terms

Abdominal Pain
Anti-Bacterial Agents
Ascites
Ascitic Fluid
Colitis*
Crohn Disease
Diarrhea
Diverticulitis
Fistula*
Humans
Kidney
Korea
Middle Aged
Nephrectomy
Peritonitis
Renal Dialysis*
Rupture
Sigmoidoscopy
Tomography, X-Ray Computed
Anti-Bacterial Agents