Korean J Obstet Gynecol.  2010 Jul;53(7):657-660. 10.5468/kjog.2010.53.7.657.

Complication of Crohn's disease on the vulva treated as a Bartholin's gland abscess: A case report

• Kim TH
• Lee HH
• Chung SH
• Jung EA

• KMID: 2273948
• DOI: http://doi.org/10.5468/kjog.2010.53.7.657

Abstract

Crohn's disease is known as regional enteritis. Extra-intestinal complications of Crohn's disease are relatively common. Extra-intestinal manifestations include skin ulcers, erythema nodosum, and arthritis. Even cases of the vulva involvement by Crohn's disease have been reported. Gynecologists did not usually consider Crohn's disease as a complication involving the vulva; gynecologists diagnose Bartholin's gland abscess first. Gynecologists have fully to consider history taking about disease characteristics. We reported recto-vulva fistula complicated by Crohn's disease and it is side effects after marsupialization operation.

Keyword

Crohn's disease; Vulva; Bartholin's abscess

MeSH Terms

Abscess
Arthritis
Crohn Disease
Erythema Nodosum
Fistula
Skin Ulcer
Vulva

Figure

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  Fig. 1 Pictures showed (A) swelling on the left side of the vulva and (B) anal fissure.

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  Fig. 2 The computed tomography showed inflammatory bowel disease involving vulva. (A) and (B). Perianal air bubbles probable due to anal fistula or fissure (white thin arrows). Thick arrows: swelling of left perineal soft tissue.

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  Fig. 3 The colonoscopic findings showed Crohn's disease. Multiple short segment ulcer and aphthous erosion (A, B).

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