Document Detail

A case of Crohn's disease with hydronephrosis caused by ureteropelvic junction obstruction.
MedLine Citation:
PMID:  16894317     Owner:  NLM     Status:  MEDLINE    
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.
Yoshitaka Ueno; Shinji Tanaka; Hiroyuki Kanao; Kyoko Yoshioka; Tsuyoshi Hatakeyama; Masaru Shimamoto; Yoshihiro Miyanaka; Toru Hiyama; Masanori Ito; Yasuhiko Kitadai; Masaharu Yoshihara; Kazuaki Chayama
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of gastroenterology & hepatology     Volume:  18     ISSN:  0954-691X     ISO Abbreviation:  Eur J Gastroenterol Hepatol     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-08-08     Completed Date:  2007-07-26     Revised Date:  2009-10-16    
Medline Journal Info:
Nlm Unique ID:  9000874     Medline TA:  Eur J Gastroenterol Hepatol     Country:  England    
Other Details:
Languages:  eng     Pagination:  1015-8     Citation Subset:  IM    
Department of Endoscopy, Hiroshima University Hospital, Japan.
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MeSH Terms
Crohn Disease / complications*,  pathology
Hydronephrosis / etiology*
Kidney Pelvis / surgery
Ureteral Obstruction / complications*,  surgery

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