A case of Crohn's disease with hydronephrosis caused by ureteropelvic junction obstruction

被引：5
|
作者：
Ueno, Yoshitaka
Tanaka, Shinji
Kanao, Hiroyuki
Yoshioka, Kyoko
Hatakeyama, Tsuyoshi
Shimamoto, Masaru
Miyanaka, Yoshihiro
Hiyama, Toru
Ito, Masanori
Kitadai, Yasuhiko
Yoshihara, Masaharu
Chayama, Kazuaki
机构：
[1] Hiroshima Univ Hosp, Dept Endoscopy, Minami Ku, Hiroshima 7348551, Japan
[2] Hiroshima Univ, Dept Med & Mol Sci, Hiroshima, Japan
[3] Hiroshima Univ, Hlth Serv Ctr, Higashihiroshima, Japan
来源：
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | 2006年 / 18卷 / 09期
关键词：
Crohn's disease; hydronephrosis; ureteropelvic junction obstruction;
D O I：
10.1097/01.meg.0000224472.59051.7e
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Ureteral obstruction is a rare extraintestinal manifestation of Crohn's disease (CD). We report the case of a 20-year-old man who presented with fever, diarrhoea, and lower abdominal pain. Diagnostic studies confirmed CD and revealed an abdominal mass obstructing the right ureter and hydronephrosis. Ureteropelvic junction (UPJ) obstruction was diagnosed. Despite an elemental diet and mesalazine therapy, the hydronephrosis persisted, and the patient eventually required surgery. Successful laparoscopic pyeloplasty was performed. This is the first report of CD associated with UPJ obstruction. Ureteral obstruction as a complication of CD is discussed.
引用
收藏
页码：1015 / 1018
页数：4
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