Crohn's Disease with Fistulae Involving Joints

Two cases of Crohn's disease with unusual manifestations of fistulae involving joints are reported. One case with a fistula from the rectum through the pelvis presented with an abscess adjacent to the left hip joint. The second presented acutely with inflammation and swelling of the right thigh...

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Bibliographic Details
Published inJournal of the Royal Society of Medicine Vol. 75; no. 12; pp. 946 - 948
Main Authors Shreeve, D R, Ormerod, L P, Dunbar, E M
Format Journal Article
LanguageEnglish
Published London, England SAGE Publications 01.12.1982
Subjects
Abscess - etiology
Adult
Arthritis, Infectious - etiology
Crohn Disease - complications
Female
Fistula - etiology
Hip Joint
Humans
Joint Diseases - etiology
Knee Joint
Middle Aged
Rectal Fistula - etiology
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Summary:Two cases of Crohn's disease with unusual manifestations of fistulae involving joints are reported. One case with a fistula from the rectum through the pelvis presented with an abscess adjacent to the left hip joint. The second presented acutely with inflammation and swelling of the right thigh suggesting thrombophlebitis. This patient died from septicaemia and was found at postmortem to have ileal Crohn's disease with fistulae into the thigh, producing septic arthritis of the knee. The possibility of underlying Crohn's disease should be considered in patients who develop abscesses adjacent to the pelvis, or physical signs suggesting thrombophlebitis of the thigh.
Bibliography:ObjectType-Case Study-2
SourceType-Scholarly Journals-1
ObjectType-Feature-4
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ObjectType-Report-1
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ISSN:0141-0768
1758-1095
DOI:10.1177/014107688207501205