Work

Extensive trans-organ urogenital fistulation in Crohn’s disease involving the bowel, urinary bladder, seminal vesicles, and prostate: Radiological perspective of a case

Year: 2025

Type: article

Abstract: Fistulas of the prostate and seminal vesicles are rare and hence a poorly understood complication of Crohn's disease (CD), often presenting with non-specific urinary symptoms. We report a case of a 27-year-old male with an 11-year history of poorly managed CD who developed complex trans-organ fistulous tracts. Magnetic resonance images revealed an extensive fistulizing disease and intra-fistulous abscess formation involving the bowel loops, urinary bladder, seminal vesicles, and prostate gland. Several complex types of fistulas, including perianal and intra-abdominal fistulas, have been described in advanced fistulizing CD; however, prostatic involvement is scarcely documented in the literature. This paper highlights the critical role of radiological imaging in accurately detecting and interpreting rare and complex cases to guide effective management.

Source: Radiology Case Reports

DOI: 10.1016/j.radcr.2025.12.017

Authors: Maryam Y. Alheddi, Fatema Husain, Jalila S. Adnan

Institutions: Salmaniya Medical Complex, Government Hospitals

Language: English

Topic: Inflammatory Bowel Disease

Subfield: Genetics

Field: Biochemistry, Genetics and Molecular Biology

Domain: Life Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $600