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Radiology, Vol 166, 745-746, Copyright © 1988 by Radiological Society of North America

ARTICLES

Enterovenous fistula: unusual complication of Crohn disease

SA Ajzen, RG Gibney, PL Cooperberg, CH Scudamore and RR Miller
Department of Radiology, Vancouver General Hospital, British Columbia, Canada.

An unusual complication in a patient with Crohn enterocolitis is presented. Ultrasound and computed tomographic studies showed stationary gas in the portal vein, and a presumptive diagnosis of septic ascending portal thrombophlebitis was made. Emergency laparotomy was performed and the terminal ileum was excised for recurrent Crohn disease. Pathologic examination showed a fistula from the lumen of the inflamed segment to the superior mesenteric venous system. Autopsy 1 month later showed organizing thrombi and fecal debris in the portal venules.


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