A Rare Case of a Complex System of Fistulas in Crohns Disease

Abstract

Fistulas in Crohn's disease are a common problem in treatment of the disease. Especially perianal fistulas may cause a loss in patient's quality of life. They are coincident with an unfavourable development of Crohn's disease. Because of the frequent young patient's age, they come along with a long life of suffering and high cost for treatment. Therefore a good clinical diagnostic and a balance between drug therapy and surgery is needed. In this report, we present the case of a 28-year old male patient with a complex system of fistula in Crohn's disease. Based on clinical and radiological findings we performed operative treatment in combination to immunosuppressive therapy as an interdisciplinary collaboration.