Crohn's disease with spontaneous cutaneous-urachovesicoenteric fistula.

This case report presents a rare complication of Crohn's disease in a 28-year-old presenting with an umbilicourachovesicoenteric fistula. Preoperative studies demonstrated communication of the umbilicus, bladder, ileum, and cecum. Preoperative nutritional support and en bloc resection with restoration of continuity primarily was performed with a successful outcome.