Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Gastroenterol. May 7, 2020; 26(17): 2119-2125
Published online May 7, 2020. doi: 10.3748/wjg.v26.i17.2119
Published online May 7, 2020. doi: 10.3748/wjg.v26.i17.2119
Gastrocolic fistula in Crohn’s disease detected by oral agent contrast-enhanced ultrasound: A case report of a novel ultrasound modality
Shuang Wu, Hua Zhuang, Jie-Ying Zhao, Department of Diagnostic Ultrasound, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Yu-Fang Wang, Department of Gastroenterology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China
Author contributions: Wu S collected the clinical information and drafted the first version of manuscript; Zhuang H drafted the manuscript for important intellectual content; Zhao JY critically revised the manuscript for important intellectual content; Wang YF acquired and interpreted diagnosis and clinical treatments information.
Supported by the National Nature Science Foundation of China , No. 81101061 .
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: The authors declare that they have no conflict of interest.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: Hua Zhuang, MD, PhD, Associate Professor, Department of Diagnostic Ultrasound, West China Hospital, Sichuan University, 37 Guo Xue Road, Wuhou District, Chengdu 610041, Sichuan Province, China. annzhuang@yeah.net
Received: January 15, 2020
Peer-review started: January 15, 2020
First decision: February 29, 2020
Revised: March 31, 2020
Accepted: April 10, 2020
Article in press: April 10, 2020
Published online: May 7, 2020
Peer-review started: January 15, 2020
First decision: February 29, 2020
Revised: March 31, 2020
Accepted: April 10, 2020
Article in press: April 10, 2020
Published online: May 7, 2020
Core Tip
Core tip: Gastrocolic fistulas (GFs) are rare, occult and potentially life-threatening complications in Crohn’s disease (CD), which can indicate the active status of CD and predict a future surgery within a short period. Ultrasound is one of the first-line modalities to evaluate CD. Oral agent contrast-enhanced ultrasound (OA-CEUS) may be helpful in reducing the possibility of a missed diagnosis of GF. Only a few cases of GF have been reported in the current literature. Surgery is the definitive treatment for GF. It is important to identify and manage GF in a timely manner. This paper describes a GF secondary to CD detected by OA-CEUS when endoscopy and computed tomography missed the diagnosis.