Abstract
There are limited data available that address the prevalence of vaginal complaints in women with Crohn’s disease. This study assessed the frequency of vaginal involvement and types of vaginal symptoms in women with Crohn’s disease managed at a university inflammatory bowel disease program. The charts of 50 women with Crohn’s disease seen consecutively during a three-month period were reviewed for the presence of vaginal involvement. The intestinal distribution of Crohn’s disease [colonic, small bowel (SB), colonic/SB] was determined, and the presence of vaginal symptoms and types of complaints were assessed. Eleven of the 50 women (22%) described vaginal symptoms. Vaginal complaints included ten patients with labial swelling and one patient with passage of stool through the vagina. Nine of the 11 women with vaginal complaints also had concurrent intestinal symptoms and perineal manifestations (P < 0.001). This study suggests that vaginal involvement in Crohn’s disease may be a more frequent phenomenon than previously reported.
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References
Feller ER, Ribaudo S, Jackson ND. Gynecologic Aspects of Crohn’s Disease. Am Fam Physician 2001;64:1725–8
Borum ML, Cannava M, Myrie-Williams C. Refractory, disfiguring vulvar pyoderma gangrenosum and Crohn’s disease [Letter]. Dig Dis Sci 1998;43:720–2
Gunthert A, Hinney B, NeBelhut K, Hanf V, Emons G. Vulvitis granulomatosa and unilateral hypertrophy of the vulva related to Crohn’s disease: a case report. Am J Obstet Gynecol 2004;191:1719–20
Werlin SL, Esterly NB, Oechler H. Crohn’s disease presenting as unilateral labial hypertrophy. J Am Acad Dermatol 1992;5:893–5
Nicolaou N, Varma S, Blackford S, Blackwell A. Case 3. Clin Exp Dermatol 2002;27:535–6
Bhaduri S, Jenkinson S, Lewis F. Vulval Crohn’s disease-a multi-specialtyapproach. Int J STD AIDS 2005;16:512–4
Platell C, Mackay J, Collopy B, Fink R, Ryan P, Woods R. Anal pathology of patient’s with Crohn’s disease. Aust N Z J Surg 1996;66:5–9
Radcliffe AG, Ritchie JK, Hawley PR, Lennard-Jones JE, Northover JM Anovaginal and rectovaginal fistulas in Crohn’s disease. Dis Colon Rectum 1988;31:94–9
Singh B, Mortensen NJMcC, Jewell DP, George B. Perianal Crohn’s disease. Br J Surg 2004;91(7):801–14
Moore-Maxwell CA, Robboy SJ. Mucinous adenocarcinoma arising in retrovaginal fistulas associated with Crohn’s disease. Gynecol Oncol 2004;93:266–8
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Graham, D.B., Tishon, J.R. & Borum, M.L. An Evaluation of Vaginal Symptoms in Women with Crohn’s Disease. Dig Dis Sci 53, 765–766 (2008). https://doi.org/10.1007/s10620-007-9921-2
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DOI: https://doi.org/10.1007/s10620-007-9921-2