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The patient with Crohn's disease may develop fistulas.
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Women are frequently left with urinary and fecal incontinence, and may develop humiliating fistulas connecting the bowel to the urogenital system- feces and urine can emerge from the vagina leaving her permanently with a sense of being unclean and often with very real infections.
Large oroantral defects may develop into oroantral fistulas or may not be covered adequately by intraoral soft tissue.
The latter fistulas may develop long after the initial surgery [26].
In severe cases, however, pathological fractures and extra oral fistulas may develop if the necrotic jaw bone becomes infected.
Blind ending sinus tracts and fistulae may develop in active CD due to transmural bowel inflammation and penetrating ulceration.
In addition, a less common, third type of fistula may develop between the oesophagus and pleural space, referred to as an oesophageal pleural fistula (Fig. 11c).
The surgical defect may develop into an oroantral fistula, with resultant patient discomfort and chronic maxillary sinusitis.
A tracheocutaneous fistula may develop when a tracheostomy orifice epithelializes during a prolonged course of healing or undernutrition.
Uncommonly, a fistula may develop after radiation therapy for a tumor that involves both the esophagus and the central airway.
Abscesses could occur anywhere, but quite few that could proceed forward and develop fistulae.
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