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...

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Autores principales: Vazquez, Christopher, Kodia, Karishma, Giri, Bhuwan, Paluvoi, Nivedh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2023
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.
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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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