Fistulizing Crohn's disease

Luca Stocchi, M.D., a colorectal surgeon at Mayo Clinic in Florida, presents a surgical case involving a 53-year-old male with long-standing, fistulizing Crohn's disease. The patient had a prior open ileocolic resection and subsequently developed progressive weight loss and anemia.

January 5, 2026

Mayo Clinic

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A 53-year-old male with fistulizing Crohn's disease experienced weight loss and anemia after a previous ileocolic resection.
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Colonoscopic biopsy revealed a 3 cm inflammatory polyp near a colonic fistula, prompting surgical intervention.
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Imaging showed inflammation and a complex fistula involving the ileum, transverse colon, and sigmoid colon.
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Surgery involved resecting the diseased anastomosis and excising the inflammatory polyp, with reconstruction performed.
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A diverting ileostomy was created postoperatively due to the complexity of the operation.

Fistulizing Crohn's disease

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Original Source(s)

Fistulizing Crohn's disease

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