Fistulizing Crohn's disease - Takeaways - MDSpire

Fistulizing Crohn's disease

  • January 5, 2026

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  • 1

    A 53-year-old male with fistulizing Crohn's disease experienced weight loss and anemia after a previous ileocolic resection.

  • 2

    Colonoscopic biopsy revealed a 3 cm inflammatory polyp near a colonic fistula, prompting surgical intervention.

  • 3

    Imaging showed inflammation and a complex fistula involving the ileum, transverse colon, and sigmoid colon.

  • 4

    Surgery involved resecting the diseased anastomosis and excising the inflammatory polyp, with reconstruction performed.

  • 5

    A diverting ileostomy was created postoperatively due to the complexity of the operation.

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