Left hydronephrosis caused by Crohn disease successfully treated conservatively

Citation
H. Ben-ami et al., Left hydronephrosis caused by Crohn disease successfully treated conservatively, AM J MED SC, 320(4), 2000, pp. 286-287
Citations number
13
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Journal title
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
ISSN journal
00029629 → ACNP
Volume
320
Issue
4
Year of publication
2000
Pages
286 - 287
Database
ISI
SICI code
0002-9629(200010)320:4<286:LHCBCD>2.0.ZU;2-9
Abstract
We report the case of a 35-year-old man who presented with fever, diarrhea, and a left abdominal mass. Diagnostic studies confirmed Crohn disease and revealed an abdominal mass obstructing the left ureter with hydroureter and hydronephrosis. The patient was successfully treated conservatively, with corticosteroids and mesalamine. A review of the literature indicates a pred ominance of right ureteral involvement in Crohn disease, associated with a high incidence of ileocecal disease. Most of these patients were treated su rgically, with resection of ileocecal lesion and/or ureterolysis. Ureteral obstruction as a complication of Crohn disease is discussed, with emphasis on conservative treatment.