An Isolated Lump in Right Groin: an Unusual Initial Presentation of Crohn’s Disease

Ray, Kausik K.; Tonsi, Alfredo; Woods, William G.; Baig, MK

doi:10.1080/00015458.2009.11680381

Cited by 3 publications

(1 citation statement)

References 6 publications

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“…Patients usually present with abdominal pain in the third decade of life, with or without fever, weight loss, fatigue and protracted diarrhoea. However, atypical and rare presentations of intestinal and extra-intestinal CD have been described in the literature 2–5. The disease incidence in North America is 3.1 to 14.6 cases per 100 000 persons per year, with 40% of cases presenting with ileocolic disease, 30% limited to the small bowel, and 30% with disease in the colon or anorectum.…”

Section: Introductionmentioning

confidence: 99%

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

Asghar

Crosby²,

Beilman³

2012

Case Reports

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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.

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Section: Introductionmentioning

confidence: 99%

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

Asghar

Crosby²,

Beilman³

2012

Case Reports

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Acute Pyogenic Inguinal Abscess from Complex Soft-Tissue Infection or Intra-Abdominal Pathology

Hsu

Lai

Peng

et al. 2014

Surgical Infections

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The role of cross sectional imaging in the management of acute pyogenic inguinal abscess - extrapelvic versus intrapelvic origin

et al. 2013

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BackgroundAbscesses involving the inguinal region as manifestations of complex soft-tissue infections are rare, and the infectious route is usually unclear. The purpose of this study was to ascertain the importance of imaging study and whether the clinical presentations differ between the extrapelvic and intrapelvic origin.MethodsPatients who presented with inguinal abscess between January 2003 and December 2010 were evaluated retrospectively. All patients received broad-spectrum antibiotic therapy and debridement. Imaging studies, including computed tomography or magnetic resonance imaging, were performed in all patients to elucidate the origin and extent of infectious disease, and the results were reviewed. Clinical data, laboratory examination findings, and culture results were analyzed.ResultsTwenty-eight patients were enrolled in the study: 13 patients whose infections were of extrapelvic origin (Group 1) and 15 patients of intrapelvic origin (Group 2). Imaging studies yielded information that helped guiding the treatment. Gram-positive coccus infection was more frequent in Group 1 (p < 0.001), while mixed pathogen and anaerobic bacterial infection were more frequent in Group 2 (p = 0.002 and p = 0.006, respectively). Group 2 had a higher incidence of history of malignancy and chronic renal failure (p = 0.044 and p = 0.038, respectively).ConclusionsComputed tomography and magnetic resonance imaging are helpful in diagnosing cases of inguinal abscess and determining the extent of infection. In patients presenting with acute pyogenic inguinal abscess, a higher prevalence of chronic renal failure and history of malignancy were found in those with an intrapelvic, as compared with an extrapelvic, origin of infection.

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An Isolated Lump in Right Groin: an Unusual Initial Presentation of Crohn’s Disease

Cited by 3 publications

References 6 publications

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

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

Acute Pyogenic Inguinal Abscess from Complex Soft-Tissue Infection or Intra-Abdominal Pathology

The role of cross sectional imaging in the management of acute pyogenic inguinal abscess - extrapelvic versus intrapelvic origin

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