Recurrent Crohn's disease of the distal ileum.A 31-year-old woman with recurrent Crohn's disease of the distal
ileum. She had previously undergone a limited right hemicolectomy and a stricturoplasty of an ileal segment of recurrent Crohn's. On this
occasion she presented with a twelve-month history of obstructive
symptoms and underwent a right hemicolectomy.
In addition to her obstructive symptoms, the patient had several
perineal lesions, which intermittently discharged purulent material. No
fistulous communication with the gut could be demonstrated. The
photograph shows two sinuses either side of the labia. Several anal
skin tags are present. Apart from the ileal disease, these lesions were
the only other evidence of Crohn's disease present.
One photograph shows the resected specimen, with a short strictured
segment between large and small bowel. The mucosa is ulcerated and the
submucosal tissues thickened. There is a large ulcer in the colon (to
the right of the picture) adjacent to the stricture.
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