Particularities of urological complications in Crohn's disease: Report of two cases

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. CONCLUSION: Urological complications of Crohn's disease are rare but can become serious, their diagnosis is difficult, sometimes these complications can be inaugural.