Vedolizumab in Crohn's disease with rectal fistulas and presacral abscess: A case report

4Citations
Citations of this article
33Readers
Mendeley users who have this article in their library.
Get full text

Abstract

BACKGROUND Fistula and intraabdominal abscess are common complications of Crohn's disease (CD), but complex rectal fistula with abscess formation is rare. Tumor necrosis factor antagonists combined with percutaneous drainage or surgical intervention is optimal treatment for fistulizing CD with intraabdominal abscess. There is no study showing the efficacy of vedolizumab in such complicated condition. CASE SUMMARY A 47-year-old man has decompensated liver cirrhosis, Child B. He suffered from abdominal pain, bloody diarrhea, fever, and body weight loss. CD with rectoprostatic fistula, rectopresacral fistula, presacral abscess and cytomegalovirus (CMV) infection were noted. He received antibiotics, anti-viral therapy, transverse colostomy and vedolizumab treatment. Six months later, he had deep remission and complete fistula tracts closure. CONCLUSION Early vedolizumab and stool diversion are effective and safe in treating CD with complex rectal fistula with abscess formation.

Cite

CITATION STYLE

APA

Yeh, H., Kuo, C. J., Wu, R. C., Chen, C. M., Tsai, W. S., Su, M. Y., … Le, P. H. (2021). Vedolizumab in Crohn’s disease with rectal fistulas and presacral abscess: A case report. World Journal of Gastroenterology, 27(5), 442–448. https://doi.org/10.3748/WJG.V27.I5.442

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free