Elabbassi Taoufik, Bachar Amine, Moufakkir Aziz, El Berni Yassine, Yaqine Karim, Lefriyekh Mohamed Rachid
Visceral Surgery Department, University Hospital Center Ibn Rochd, Casablanca, Morocco.
Faculty of Medicine and Pharmacy, Hassan II University, Casablanca, Rue des Hôpitaux, Casablanca, Morocco.
Ann Med Surg (Lond). 2022 Jun 6;79:103903. doi: 10.1016/j.amsu.2022.103903. eCollection 2022 Jul.
Urological complications of Crohn's disease are rare, often asymptomatic and present a diagnostic problem. These complications are dominated by fistulas. The renal prognosis may be involved. We report an observation of two clinical cases with urological complications of Crohn's disease.
CASE 1: Patient aged 26 years, followed for Crohn's disease. He presented with right iliac fossa pain related to a collection responsible for right uretero-hydronephrosis. Renal scintigraphy objectified that it was a dumb right kidney.
CASE 2: Patient was 37 years old, with no history; he consulted for pollakiuria and pneumaturia. Surgical exploration showed the presence of a vesico-colic fistula. Histological examination of the fistula path was related to Crohn's disease.
Urological complications of Crohn's disease are rare but can become serious, their diagnosis is difficult, sometimes these complications can be inaugural.
克罗恩病的泌尿系统并发症罕见，通常无症状，存在诊断难题。这些并发症以瘘管为主。肾脏预后可能受累。我们报告两例克罗恩病泌尿系统并发症的临床病例观察。
病例1：26岁男性，患有克罗恩病。他因右髂窝疼痛就诊，疼痛与导致右输尿管积水性肾盂积水的积液有关。肾闪烁显像显示为右侧孤立肾。
病例2：37岁男性，无病史；因尿频和气尿就诊。手术探查发现存在膀胱结肠瘘。瘘管路径的组织学检查与克罗恩病有关。
克罗恩病的泌尿系统并发症罕见，但可能变得严重，其诊断困难，有时这些并发症可能是首发症状。
