Open AccessEPIDIDYMOORCHITIS AS AN EXTRAINTESTINAL MANIFESTATION OF CROHN’S DISEASE (case report)
Author(s) -
Д. А. Хубезов,
С Н Трушин,
А. Ю. Огорельцев,
Е. И. Семионкин
Publication year - 2019
Publication title -
koloproktologiâ
Language(s) - English
Resource type - Journals
eISSN - 2686-7303
pISSN - 2073-7556
DOI - 10.33878/2073-7556-2019-18-3-99-103
Subject(s) - medicine , orchitis , ankylosing spondylitis , epididymitis , asymptomatic , spondylitis , disease , surgery , fistula , ileitis , crohn's disease
Extraintestinal manifestations are found at least in a quarter of patients with Crohn's disease. In contrast to eyes lesions, joints and skin, epididymoorchitis caused by Crohn's disease is extremely rare and is described in few papers. However, orchitis and epididymitis are described in another autoimmune disease, ankylosing spondylitis and, although the incidence of asymptomatic orchitis in ankylosing spondylitis is unknown, it is often diagnosed during examinations for male infertility. A clinical case report of a 26-year-old patient suffering from Crohn's disease with extraintestinal manifestations in the form of orchiepididymitis is presented. While receiving treatment in the urological unit, the patient underwent several procedures, including a right-side orchiectomy, but the inflammatory process progressed with the risk of losing the only remaining testicle. Only after ileocecal resection for the penetrating Crohn's disease with ileosigmoid fistula and following biological therapy, it was possible to achieve remission and preserve a single testicle.