Due to the anatomical proximity of the last ileal loop and the bladder, Crohn’s disease can affect the urinary tract by the formation ofan Enterovesical Fistula (EVF). Although rare, it represents a complication with a potential impact on the patient’s quality of life andit is often diffcult to manage. In addition to the Computed Tomographic (CT) fndings, several other examinations can contributeto the diagnosis of EVF, which calls for adequate management based on disconnection of the digestive tract from the bladder andmaintenance of medical treatment. Despite therapeutic advances in the context of Crohn’s disease, the EVF remains a surgicalindication. The present case reported is of a successfully managed EVF which was revealed by fecaluria aiming to emphasise theclinical aspects and various diagnostic tools with a special mention of the key role of medical imaging in the diagnostic processand the surgical management.
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