title: Crohn's disease presented by episiotomy dehiscence and perineal fistula.
abstract: A case of Crohn's disease is described which was first manifested by episiotomy dehiscence and perineal fistula after an instrumental delivery. The female newborn showed a congenital rectovaginal fistula and hexadactylia. Differential diagnosis and possible relationship between both fistulas are discussed.
mesh_terms: D000038:Abscess / Q000175:diagnosis; D000328:Adult; D003424:Crohn Disease / Q000175:diagnosis* / Q000235:genetics; D004841:Episiotomy; D005260:Female; D005317:Fetal Growth Retardation / Q000175:diagnosis / Q000235:genetics; D006801:Humans; D007231:Infant, Newborn; D011183:Postoperative Complications / Q000175:diagnosis*; D011247:Pregnancy; D012006:Rectovaginal Fistula / Q000175:diagnosis* / Q000235:genetics; D013529:Surgical Wound Dehiscence / Q000175:diagnosis*; D014034:Toes / Q000002:abnormalities