Rare Enterohepatic Fistula in Crohn’s Disease: Case Analysis and Literature Synthesis

11 January 2025 : Case report Switzerland

Unusual clinical course

Aline Misar

^1EF*, Alexis Litchinko

^12AEF, Florence Bloget^3D, Michael John Chilcott^1E, Bernhard Egger^1CE

DOI: 10.12659/AJCR.945701

Am J Case Rep 2025; 26:e945701

Introduction Case Report Discussion Conclusions References:

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Table 1. Literature overview of Crohn disease-related enterohepatic fistulas.

	Patient	Symptoms	Localization	Workup	Treatment	Outcome
Rickes, 2006 []¹⁶	25-year-old man	Fever and chills	Duodenum	Ultrasound	Endosonography, antibiotics, and infliximab	Complete remission within 4 weeks
Van Backer, 2017 []¹⁵	32-year-old woman	Abdominal pain and fever during pregnancy	Terminal ileon	CT	Initial percutaneous drainage and antibiotics. Elective small bowel resection and marsupialization	Recurrent abscess after initial conservative treatment
Misar [Present Case], 2024	59-year-old woman	Abdominal pain	Ileocolic anastomosis	CT	Percutaneous drainage followed by elective resection	Two-month follow-up uneventful

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