Presentation
Known patient with Crohn’s disease underwent many operations. Fecal material comes from the infraumbilical opening.
Patient Data
Age: 45 years
Gender: Male
From the case:
Colocutaneous fistula in Crohn's disease
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Direct injection of contrast via syringe through the opening at the operative site within the anterior abdominal wall. It leads to passage of contrast directly to the descending colon denoting colocutaneous fistula.
Metal clips are noted
Crowding of bowel loops are seen at operation site.
Bilateral renal calculi are seen.
Pancreas also shows fat infiltration.
Excessive fat is seen in abdomen and pelvis around rectum and urinary bladder giving the appearance of lipomatosis.
Case Discussion
Colocutaneous fistula in patient with Crohn's disease.
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