Cullis Paul, Mullassery Dhanya, Baillie Colin, Corbett Harriet
Department of Paediatric Surgery, Alder Hey Children's Hospital NHS Trust, Liverpool, UK.
BMJ Case Rep. 2013 Nov 18;2013:bcr2013201899. doi: 10.1136/bcr-2013-201899.
Enterovesical fistulae in Crohn's disease are relatively rare. We present the first report of a child presenting with an enterovesical fistula as the initial presentation of Crohn's disease. Management comprises of timely diagnosis, and treatment involving surgical resection with adjunctive medical management including immunomodulators. This case highlights the need to be aware of the rare but important occurrence of Crohn's enterovesical fistula as a cause for urinary symptoms in a child with inadequate weight gain.
克罗恩病中的肠膀胱瘘相对少见。我们报告了首例以肠膀胱瘘为克罗恩病首发表现的儿童病例。治疗包括及时诊断，以及采用手术切除并辅以免疫调节剂等药物治疗的方法。该病例凸显了对于体重增加不足的儿童出现的泌尿症状，需警惕克罗恩病肠膀胱瘘这种罕见但重要病因的必要性。
