A rare primary presentation of crohn's disease: Enterocutaneous fistula with abdominal abscess

Crohn's disease (CD) is defined as a chronic gastrointestinal tract inflammatory disease which most commonly affects the distal ileum. It might present with a wide range of unspecific symptoms such as diarrhoea, abdominal pain and anorectal pathologies. In this article, we report the case of a 57-year-old man who presented solely with an abdominal abscess associated with low-grade fever. Radiological studies revealed an enterocutaneous fistula and severely inflamed small bowel loops, which were all managed surgically. The patient was stable post-operatively, and final laboratory results confirmed the diagnosis of CD and he was treated accordingly