Mathilde Wagner, Jeremie H

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Presentation transcript:

Internal fistula leakage due to a road traffic accident: A fortuitous diagnosis of Crohn's disease Mathilde Wagner, Jeremie H. Lefevre, Benoit Royer, Magali Svrcek, Clément Pradel, Emmanuel Tiret Journal of Crohn's and Colitis Volume 6, Issue 5, Pages 603-605 (June 2012) DOI: 10.1016/j.crohns.2011.11.008 Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions

Figure 1 A: CT scan in bone window: left ilio-pubic branch and left socket fractures. B: CT scan in abdominal window: fistula either open in the abdominal cavity or between the ileum and the sigmoid, ileum inflammation and mesenteric inflammation. Journal of Crohn's and Colitis 2012 6, 603-605DOI: (10.1016/j.crohns.2011.11.008) Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions

Figure 2 A: Macroscopic view of the ileocaecal resection. An ileal fistula is marked with a stylet. B: Macroscopic view of opened ileum. The bowel wall is markedly thickened and edematous. Numerous geographic ulcers are present surrounded by mural edema. The ulcerations, extending deep into the bowel wall, are covered by a fibropurulent exsudate. Journal of Crohn's and Colitis 2012 6, 603-605DOI: (10.1016/j.crohns.2011.11.008) Copyright © 2011 European Crohn's and Colitis Organisation Terms and Conditions