Pneumaturia as first sign of Crohn's disease. case report

Background: Crohn's disease (CD) presents as acute or chronic bowel inflammation, causing stricture and obstruction or penetration and fistula formation. Perirectal fistulas, fissure, abscesses and anal stenosis are present in about 30% of these patients. In women with Crohn's colitis rectovaginal fistula develops in about 10%. Intestinal inflammatory disease may fistulise into the urinary bladder. Dysuria is a common complaint of enterovesical fistula. Pneumaturia is less common and fecaluria is rare, too. Genitourinary complications are reported to occur up to 35% of CD patients. Urinary tract fistulas in CD o…