Enterosalpingeal fistula complicating Crohn’s disease: report of two cases and review of the literature

Introduction
Fistulae represent a common complication of Crohn’s disease that occurs in about 30% of patients [1]. It is an abnormal communication between the gut and adjacent organs or abdominal wall. The most frequent fistulae are enterocolic and enteroenteric [1]. Reports of enterogenital fistulae are scars. Herein, we report two cases of enterosalpingeal fistulae complicating Crohn’s disease.

Case 1
The first patient was fifty-year-oldfifty years old, with a past medical history of ileocecal Crohn’s disease. She was admitted ininto our department for bowel obstruction. On physical examination, the patient had a mass in the right fossa iliaca. Routine biology tests were normal. Abdominal CT-scan (Figure 1) showed a severe stenosis of the last ileal loop, causing intestinal distension. Sclerolipomatosis and mesenteric adenopathies were present. CT also showed a markedly thickened right fallopian tube having an abnormal contact with the last loop. Conservative management was successfully conducted. Barium meal (Figure 2) revealed a stenosis of the last lootloop and presence of contrast fluid in the right fallopian tube. Hysterosalpingography (Figure 2) showed an opacification of the ascending colon.