CROHNS-DISEASE PRESENTING WITH FOURNIERS-GANGRENE AND ENTEROVESICAL FISTULA

Our purpose is to make a case for early operative intervention. A 37-y ear-old man presented with a large periurethral abscess and Fournier's gangrene. During the ensuing evaluation and treatment, he was found t o have previously undiagnosed Crohn's disease with a complex enteroves ical fistula. This case stands in contrast to other reports that downp lay the morbidity of enterovesical fistula associated with Crohn's dis ease and advise medical management until gastrointestinal complication s require operative intervention.