Enterocolic Fistula caused by Acute Colitis in a Hemodialysis Patient / 대한내과학회지
Korean Journal of Medicine
;
: 41-45, 2016.
Article
in Korean
| WPRIM
| ID: wpr-149391
ABSTRACT
Enterocolic fistulas are commonly associated with previous surgery, Crohn's disease, diverticulitis, radiation therapy, and malignancy. Here, we report a rare case of enterocolic fistula caused by acute colitis in a hemodialysis patient. A 62-year-old man on maintenance hemodialysis underwent a radical nephrectomy via a paramedian incision due to spontaneous right kidney rupture and was treated with prophylactic antibiotics. On the 16th day of antibiotic therapy, he complained of abdominal pain and diarrhea. Abdominal computed tomography (CT) and ascitic fluid culture revealed acute bacterial peritonitis and sigmoidoscopy showed acute colitis. After treating these diseases with adequate antibiotics, the abdominal pain and ascites were relieved, but the diarrhea persisted. Abdominal CT obtained 7 days later showed an enterocolic fistula. To our knowledge, this is the first case of enterocolic fistula due to acute colitis in Korea.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Peritonitis
/
Ascites
/
Rupture
/
Ascitic Fluid
/
Crohn Disease
/
Tomography, X-Ray Computed
/
Abdominal Pain
/
Renal Dialysis
/
Sigmoidoscopy
/
Colitis
Limits:
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Medicine
Year:
2016
Type:
Article
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