Case 26-1989

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Abstract
Presentation of CaseA 34-year-old woman was admitted to the hospital because of vulvar cellulitis.There was an 11-year history of Crohn's disease, with rectal involvement and perirectal abscesses, for which a colectomy and ileostomy were performed elsewhere 8 years before entry. A long-standing chronic fistula near the right buttock drained fecal material before the colectomy and was dry thereafter. Five years before admission a distal pancreatectomy with splenectomy and cholecystectomy was performed because of repeated bouts of pancreatitis, with the demonstration of calculi in the pancreatic ducts on endoscopic retrograde cholangiopancreatographic (ERCP) examination. Diabetes mellitus developed postoperatively, and insulin . . .

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