{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T00:03:50Z","timestamp":1756339430468,"version":"3.44.0"},"reference-count":8,"publisher":"BMJ","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["BMJ Case Reports"],"abstract":"<jats:p>Crohn\u2019s 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\u2019s 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\u2019s Disease in a non-healing enterocutaneous fistula in an otherwise asymptomatic patient.<\/jats:p>","DOI":"10.1136\/bcr.11.2011.5265","type":"journal-article","created":{"date-parts":[[2012,1,27]],"date-time":"2012-01-27T16:09:38Z","timestamp":1327680578000},"page":"bcr1120115265","source":"Crossref","is-referenced-by-count":2,"title":["Enterocutaneous fistula as early presentation of Crohn\u2019s disease in an adult woman: Figure 1"],"prefix":"10.1136","volume":"2012","author":[{"given":"Javariah I","family":"Asghar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Crosby","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Greg J","family":"Beilman","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2012,1,27]]},"reference":[{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.1","unstructured":"Cameron JH . Current Surgical Therapy. 10th Edition. Philadelphia, PA: Elsevier 2010."},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.2","unstructured":"\u00c3\u0089lo\u00c3\u00afse PP Azza R Fouad M . Pulmonary and hepatic nodular lesions precede the diagnosis of Crohn\u00e2\u0080\u0099s disease in an eight-year-old girl: a case study and review of the literature. Acta Paediatrica 2011 (In Press)."},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.3","doi-asserted-by":"publisher","DOI":"10.1016\/j.crohns.2010.02.010"},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.4","doi-asserted-by":"publisher","DOI":"10.1007\/s11605-010-1254-3"},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.5","doi-asserted-by":"crossref","first-page":"98","DOI":"10.1080\/00015458.2009.11680381","article-title":"An isolated lump in right groin: an unusual initial presentation of Crohn\u00e2\u0080\u0099s disease.","volume":"109","author":"Ray","year":"2009","journal-title":"Acta Chir Belg"},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.6","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1038\/ajg.2011.73","article-title":"Efficacy of biological therapies in inflammatory bowel disease: systematic review and meta-analysis","volume":"106","author":"Ford","year":"2010","journal-title":"Am J Gastroenterol"},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.7","doi-asserted-by":"publisher","DOI":"10.1002\/ibd.20915"},{"key":"2025082703565310000_2012.jan23_1.bcr1120115265.8","doi-asserted-by":"publisher","DOI":"10.3748\/wjg.v16.i43.5405"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr.11.2011.5265","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:56:57Z","timestamp":1756292217000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr.11.2011.5265"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,1,27]]},"references-count":8,"alternative-id":["10.1136\/bcr.11.2011.5265"],"URL":"https:\/\/doi.org\/10.1136\/bcr.11.2011.5265","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2012,1,27]]}}}