A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back
Fistulizing perianal disease is a debilitating complication present in nearly half of all patients diagnosed with Crohn’s disease. The majority of anal fistulas arising in these patients are complex. Treatment can be challenging with therapy often requiring both medical and surgical interventions wi...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284672/ https://www.ncbi.nlm.nih.gov/pubmed/37360741 http://dx.doi.org/10.1093/jscr/rjad364 |
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author | Vazquez, Christopher Kodia, Karishma Giri, Bhuwan Paluvoi, Nivedh |
author_facet | Vazquez, Christopher Kodia, Karishma Giri, Bhuwan Paluvoi, Nivedh |
author_sort | Vazquez, Christopher |
collection | PubMed |
description | Fistulizing perianal disease is a debilitating complication present in nearly half of all patients diagnosed with Crohn’s disease. The majority of anal fistulas arising in these patients are complex. Treatment can be challenging with therapy often requiring both medical and surgical interventions with differing levels of symptomatic relief. Fecal diversion is an option after medical and surgical modalities have been exhausted but demonstrates limited efficacy. Complex perianal fistulizing Crohn’s disease is inherently morbid and can be difficult to manage. We present a case of a young male with Crohn’s, severe malnutrition and multiple perianal abscess with extensive fistula tracts up to his back; a planned fecal diversion was instituted to control sepsis and allow for wound healing and optimize medical therapy. |
format | Online Article Text |
id | pubmed-10284672 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-102846722023-06-23 A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back Vazquez, Christopher Kodia, Karishma Giri, Bhuwan Paluvoi, Nivedh J Surg Case Rep Case Report Fistulizing perianal disease is a debilitating complication present in nearly half of all patients diagnosed with Crohn’s disease. The majority of anal fistulas arising in these patients are complex. Treatment can be challenging with therapy often requiring both medical and surgical interventions with differing levels of symptomatic relief. Fecal diversion is an option after medical and surgical modalities have been exhausted but demonstrates limited efficacy. Complex perianal fistulizing Crohn’s disease is inherently morbid and can be difficult to manage. We present a case of a young male with Crohn’s, severe malnutrition and multiple perianal abscess with extensive fistula tracts up to his back; a planned fecal diversion was instituted to control sepsis and allow for wound healing and optimize medical therapy. Oxford University Press 2023-06-21 /pmc/articles/PMC10284672/ /pubmed/37360741 http://dx.doi.org/10.1093/jscr/rjad364 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2023. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Vazquez, Christopher Kodia, Karishma Giri, Bhuwan Paluvoi, Nivedh A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title | A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title_full | A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title_fullStr | A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title_full_unstemmed | A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title_short | A complex presentation and successful management of fistulizing perianal Crohn’s disease extending to the mid-back |
title_sort | complex presentation and successful management of fistulizing perianal crohn’s disease extending to the mid-back |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10284672/ https://www.ncbi.nlm.nih.gov/pubmed/37360741 http://dx.doi.org/10.1093/jscr/rjad364 |
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