Crohn disease is characterized by transmural inflammation and can thus lead to fistulization between the inflamed bowel and adjacent structures, typically other loops of bowel, skin, or bladder. Rarely, fistulae to embryonic remnants such as a patent urachus may also occur. This case report describes an eleven year-old female patient with a new diagnosis of Crohn disease who presented with an entero-uracho-cutaneous fistula. The unique challenges to both diagnosis and management in this patient population are discussed.
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