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J R Soc Med. 1982 December; 75(12): 946–948.
PMCID: PMC1438505

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 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.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Kyle J. Psoas abscess in Crohn's disease. Gastroenterology. 1971 Aug;61(2):149–155. [PubMed]
  • London D, Fitton JM. Acute septic arthritis complicating Crohn's disease. Br J Surg. 1970 Jul;57(7):536–537. [PubMed]
  • Reuler JB, Borthistle BK, Chang MK, Bachhuber RG. Pseudothrombophlebitis syndrome in the arthropathy of granulomatous colitis. Arch Intern Med. 1979 Oct;139(10):1178–1179. [PubMed]

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