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BMC Women's Health
Published in: BMC Women's Health 1/2021

Open Access 01-12-2021 | Magnetic Resonance Imaging | Case report

Vulvar Crohn’s disease in an adolescent diagnosed after unsuccessful surgical treatment

Authors: Suhra Kim, Young Bin Won, Seok Kyo Seo, SiHyun Cho, Young Sik Choi, Byung Seok Lee, Bo Hyon Yun

Published in: BMC Women's Health | Issue 1/2021

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Abstract

Background

This case report presents a case of Vulvar Crohn’s disease (VCD) in an adolescent, that is an uncommon manifestation of Crohn’s disease (CD) without gastrointestinal symptoms. Before treating CD itself with proper medication, vulvar abscess continued to recur without improvement.

Case presentation

We report the case of an 18-year-old woman with VCD. After treatment with azathioprine 50 mg daily and mesalazine 1 g three times daily, vulvar lesions resolved after 6 weeks. We collected electronic medical data on patient characteristics, and evaluated findings of physical examinations, pelvic MRI, and biopsy specimen obtained from gastroduodenoscopy/colonoscopy.

Conclusions

VCD is a rare manifestation of CD that may be misdiagnosed in the absence of gastrointestinal symptoms leading to delayed treatment. If a patient has an unexplained vulvar inflammatory lesion and with repeated failed surgical treatment, gynecologists should consider the possibility of a VCD.
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Metadata
Title
Vulvar Crohn’s disease in an adolescent diagnosed after unsuccessful surgical treatment
Authors
Suhra Kim
Young Bin Won
Seok Kyo Seo
SiHyun Cho
Young Sik Choi
Byung Seok Lee
Bo Hyon Yun
Publication date
01-12-2021
Publisher
BioMed Central
Published in
BMC Women's Health / Issue 1/2021
Electronic ISSN: 1472-6874
DOI
https://doi.org/10.1186/s12905-021-01449-4

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