BMJ Case Reports 2012; doi:10.1136/bcr.11.2011.5265
  • Unusual presentation of more common disease/injury

Enterocutaneous fistula as early presentation of Crohn’s disease in an adult woman

  1. Greg J Beilman
  1. General Surgery Department, University of Minnesota, Minneapolis, Minnesota, USA
  1. Correspondence to Dr Javariah I Asghar, asgh0002{at}


Crohn’s disease is a chronic transmural inflammatory process that primarily affects the gastrointestinal tract, with several extra-intestinal manifestations. Though patients usually present with vague abdominal pain, initial presentation can be at an advanced stage or with extra-intestinal pathology. The authors report the case of a 59-year-old woman, who presented with a tubo-ovarian abscess that resulted in a protracted non-healing enterocutaneous fistula, which was eventually diagnosed as Crohn’s disease approximately 2 years after initial presentation. Relevant literature is reviewed, as well as time-points where an earlier diagnosis could have been made thereby underscoring the importance of considering Crohn’s Disease in a non-healing enterocutaneous fistula in an otherwise asymptomatic patient.


  • Competing interests None.

  • Patient consent Obtained.

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