PTU - Polskie Towarzystwo Urologiczne
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Atypical course of the Leśniowski-Crohn disease as a tumor of the kidney and colon
Article published in Urologia Polska 2002/55/4.

authors

Maciej Kierzkiewicz 2, Sławomir Dutkiewicz 3, Władysław Małek 1, Alojzy Witeska 1, Grażyna Rydzewska 2
1 Klinika Urologii Centralnego Szpitala Klinicznego w Warszawie
Kierownik kliniki: prof, dr hab. Alojzy Witeska
2 Klinika Gastroenterologii Centralnego Szpitala Klinicznego w Warszawie
Kierownik kliniki: dr hab. Grażyna Rydzewska
3 Centrum Medyczne ATTIS w Warszawie
Konsultant ds. urologii: dr hab. Sławomir Dutkiewic

keywords

kidney, kidney tumor, Leśniowski-Crohn disease

summary

We present a rare and atypical course of Leśniowski-Crohn disease in a 74-years old man suffering of diabetes mellitus and arterial hypertension. The patient was admitted to the hospital due to bleeding of the digestive tract. Imagine examinations (USG, CT) diagnosed tumor of the left kidney infiltrating colon. Surgical treatment, e. g. left nephrectomy with left hemicolectomy, was performed. Pathological examination showed Leśniowski-Crohn disease. In the later course of the disease a colonic tumor was diagnosed with liver metastasis. The patient underwent resection of the colon with the tumor and wedge resection of the right liver lobe with metastasis. Next complications were enterocutaneous fistula due to colonic resection, and interintestinal abscess with albuminous and electrolyte disorders. The patient underwent four operations during less than two years. Right now the patients status is stabile. He has been staying still under control of gastrologic outpatient clinic.

references

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correspondence

Sławomir Dutkiewicz
ul Lachmana 2 m.
56 02-786 Warszawa