Unusual Complications of Regional Enteritis

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Abstract
REGIONAL enteritis is associated with many complications; these include abdominal abscesses, hemorrhage, fistula formation, bowel obstruction, and malabsorption syndrome. Involvement of the duodenum is an unusual but well-established manifestation. Duodenobiliary communication, however, has been reported in only three cases,1and liver abscess is rare.2,3The following report describes a case of regional enteritis that was complicated by both a duodenobiliary fistula and a hepatic abscess. Report of a Case A 42-year-old man was admitted to Michael Reese Hospital and Medical Center with a 14-year history of regional enteritis. In 1960, he had undergone resection of the terminal ileum and ascending colon at another hospital. In April 1969, he had had a laparotomy for a right-lower-quadrant abscess, and a jejunotransverse colostomy was performed, leaving approximately 2 meters of functioning small bowel. The patient's status worsened progressively during the next two years, with recurrent attacks of cramping pain and fever.

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