Ileoileal fistula (Crohn disease)

Discussion:

Ileoileal and ileocutaneous / colocutaneous fistulas, abscesses in abdomina are common complications encountered in inflammatory bowel disease. During the episodes of flare up / active disease, mucosal hyperenhancement in post contrast studies confirm activity. In the previous studies (not included here), localized collections were seen at the site of present fistulations, suggesting the chronic development of a fistula off a pre existing wall of inflammation. The general dictum of abscess has to drain is what happens heres as well with interbowel fistulations providing inflammatory relief. 

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