Diagnosis and Treatment of Urinary Tract Complication in Crohn’s Disease: An Experience over 15 Years

Ben-Ami, Haim; Ginesin, Y; Behar, Doron M.; Fischer, Doron; Edoute, Y; Lavy, Alexandra

doi:10.1155/2002/204614

Cited by 64 publications

(66 citation statements)

References 16 publications

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“…Often clinically underestimated, these complications need urological and gynecological consultation to receive appropriate treatment [7][8][9][10]. Fig.…”

Section: Discussionmentioning

confidence: 99%

“…Although cross-sectional imaging studies are focused on inflammatory bowel disease, radiologists should carefully search and report any possible urologic abnormality in CD patients [7,8,11].…”

Section: Urologic Complicationsmentioning

confidence: 99%

“…Rarely, fistulas may be directly visualized when opacified by orally administered contrast, during fluoroscopic small bowel studies, intravenous urography or cystography [8,22,23,25].…”

Section: Enterovesical Fistulizationmentioning

confidence: 99%

“…Complications involving the urinary and genital organs are not uncommon in CD patients and are often clinically underestimated because of the dominant intestinal or systemic symptoms [7][8][9][10].…”

mentioning

confidence: 99%

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Common and unusual urogenital Crohn’s disease complications: spectrum of cross-sectional imaging findings

et al. 2012

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Involvement of the urinary tract and genital organs is not uncommon in patients affected with Crohn's disease (CD). Occurring in both sexes, uro-gynecological complications are often clinically unsuspected because of the dominant intestinal or systemic symptoms. Knowledge of their manifestations and cross-sectional imaging appearances is necessary to recognize and report them, since correct medical or surgical treatment choice with appropriate specialist consultation allows to prevent further complications. Besides uncomplicated urinary tract infections that usually do not require imaging, urolithiasis and pyelonephritis represent the most commonly encountered urinary disorders: although very useful, use of computed tomography (CT) should be avoided whenever possible, to limit lifetime radiation exposure. Hydronephrosis due to ureteral inflammatory entrapment and enterovesical fistulization may result from penetrating CD, and require precise imaging assessment with contrast-enhanced CT to ensure correct surgical planning. Representing the majority of genital complication, ano-and rectovaginal fistulas and abscesses frequently complicate perianal inflammatory CD and are comprehensively investigated with high-resolution perianal MRI acquired with phased-array coils, high-resolution T2-weighted sequences and intravenous contrast. Finally, rare gynecological manifestations including internal genital fistulas, vulvar and male genital involvement are discussed.

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“…Often clinically underestimated, these complications need urological and gynecological consultation to receive appropriate treatment [7][8][9][10]. Fig.…”

Section: Discussionmentioning

confidence: 99%

Section: Urologic Complicationsmentioning

confidence: 99%

“…Rarely, fistulas may be directly visualized when opacified by orally administered contrast, during fluoroscopic small bowel studies, intravenous urography or cystography [8,22,23,25].…”

Section: Enterovesical Fistulizationmentioning

confidence: 99%

mentioning

confidence: 99%

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Common and unusual urogenital Crohn’s disease complications: spectrum of cross-sectional imaging findings

et al. 2012

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“…Várias manifestações extra-intestinais em DII tem sido descritas que acometem os rins e as vias urinárias, sendo relatada uma incidência que varia de 4-23% dos pacientes (7,29,35,50,51,52,53,54). Os mais acometidos são aqueles que já foram submetidos a ressecções intestinais ou ileostomia (7,35,50).…”

Section: Rcu + Crohnunclassified

Manifestações extra-intestinais em doença de Crohn e retocolite ulcerativa: prevalência e correlação com o diagnóstico, extensão, atividade, tempo de evolução da doença

Mota

Kiss

Teixeira

et al. 2007

Rev bras. colo-proctol.

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Complications in Crohnʼs disease: Right-sided ureteric stenosis and hydronephrosis

Angelberger

Fink

Schima

et al. 2007

Inflammatory Bowel Diseases

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Diagnosis and Treatment of Urinary Tract Complication in Crohn’s Disease: An Experience over 15 Years

Abstract: Based on these findings, urological complications are not rare in patients with Crohn's disease, and necessitate a high degree of diligence and periodic urological evaluation.

Cited by 64 publications

References 16 publications

Common and unusual urogenital Crohn’s disease complications: spectrum of cross-sectional imaging findings

Common and unusual urogenital Crohn’s disease complications: spectrum of cross-sectional imaging findings

Manifestações extra-intestinais em doença de Crohn e retocolite ulcerativa: prevalência e correlação com o diagnóstico, extensão, atividade, tempo de evolução da doença

Complications in Crohnʼs disease: Right-sided ureteric stenosis and hydronephrosis

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