Shreeve D R, Ormerod L P, Dunbar E M
J R Soc Med. 1982 Dec;75(12):946-8. doi: 10.1177/014107688207501205.
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.
报告了两例克罗恩病，其瘘管有累及关节的异常表现。一例是直肠经骨盆形成的瘘管，伴有左髋关节旁脓肿。另一例急性发作，表现为右大腿炎症和肿胀，提示血栓性静脉炎。该患者死于败血症，尸检发现患有回肠克罗恩病，有瘘管通向大腿，导致膝关节化脓性关节炎。对于出现骨盆旁脓肿或有提示大腿血栓性静脉炎体征的患者，应考虑潜在克罗恩病的可能性。
