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Intest Res. 2013 Oct;11(4):299-302. English. Case Report.
Weng MT , Wei SC , Tien YW , Shih IL , Wong JM .
Department of Internal Medicine, Far-Eastern Memorial Hospital, Taipei, Taiwan.
Department of Internal Medicine, National Taiwan University College of Medicine, Taipei, Taiwan. jmwong@ntu.edu.tw
Department of Surgery, National Taiwan University College of Medicine, Taipei, Taiwan.
Department of Radiology, National Taiwan University College of Medicine, Taipei, Taiwan.
Abstract

Fistula formation is common during the course of Crohn's disease, whereas duodenocolic fistulas are very rare. The management of internal fistulas in Crohn's disease is a complex issue. Herein, we report a case of duodenocolic fistula manifested by increasing frequency of diarrhea and loss of body weight. The fistula was diagnosed by upper gastrointestinal tract barium series, magnetic resonance enterography, and panendoscopy and was treated with a right hemicolectomy and Whipple procedure because of the simultaneous occurrence of pancreatic head tumor. Subsequent treatment with adalimumab, azathioprine, and mesalazine was prescribed for the maintenance of disease remission, and the patient was well until 18 months after the surgery.

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