A Rare Case of Cutaneous-Urachovesicoenteric Fistula in a Patient With Crohn’s Disease

Entero-Uracho Vesicle fistulae are a rare sequelae of aggressive Crohn's disease, with only a small number of case reports being available in the literature. Such cases are most often managed via sepsis and skin care, nutrition, anatomy, and plan (SNAP) principles, with many Crohn's fistulas requiring complex surgical intervention to definitively deal with the offending fistulous tracts. We present a case with an even rarer consequence of uncontrolled Crohn's disease despite immunomodulatory therapy in a 34-year-old male who presented with an entero-uracho vesicle fistula, which was managed surgically instead of the usual SNAP protocol with excellent results.