Mörl M, Fuchs H, Riemann J
Med Klin. 1976 May 7;71(19):814-9.
The transmural inflammation in Crohn's disease, the variable localization of the disease and the tendency to a descending spread, all lead to a multitude of possible fistulae, the presence of which is often difficult to demonstrate. This is a report on 5 unusual fistula systems: in 2 cases entero-enteral (one of which with hydronephrosis), 1 case of rectovaginal fistula, 1 case of a branched fistula system in the right buttock, 1 case of fistulae between an abscess system in the spleen "bed" and the greater curvature of the stomach. A radiological and endoscopic diagnosis is important since surgically opened fistula systems heal only with great difficulty or not at all.
克罗恩病的透壁性炎症、疾病部位的多变性以及向下蔓延的趋势，均导致多种可能的瘘管形成，而瘘管的存在往往难以证实。本文报告了5例罕见的瘘管系统：2例肠-肠瘘（其中1例伴有肾积水），1例直肠阴道瘘，1例右臀部分支瘘管系统，1例脾“床”脓肿系统与胃大弯之间的瘘管。放射学和内镜诊断很重要，因为手术切开的瘘管系统愈合困难，甚至根本无法愈合。
