title: A 14-year-old girl with recurrent vulvar abscess.
abstract: BACKGROUND
  Inflammatory bowel disease is a relatively common condition that may present in a myriad of fashions, from the more frequently seen symptoms of diarrhea and abdominal pain to the less likely presentations with fistulas and abscesses.
  
  
  METHODS
  A 14-year-old female with a presumed diagnosis of a Bartholin's gland cyst was treated for over 1 year with both medical and surgical interventions without her symptoms ever completely resolving. It was later found that these recurring vulvar abscesses were a manifestation of Crohn's disease.
  
  
  CONCLUSIONS
  While the patient's history and physical are both very important in determining cause for pathology, we must also realize the importance of re-examining and broadening our differential diagnosis when faced with a patient who has failed multiple avenues of care.
authors.affiliation: Emory University School of Medicine, Atlanta, Georgia.
authors.forename: Richina
authors.initials: R
authors.lastname: Bicette
authors.affiliation: Department of Pediatric Gastroenterology, Emory University, Atlanta, Georgia.
authors.forename: Gayathri
authors.initials: G
authors.lastname: Tenjarla
authors.affiliation: Department of Pediatric Gastroenterology, Emory University, Atlanta, Georgia.
authors.forename: Subra
authors.initials: S
authors.lastname: Kugathasan
authors.affiliation: Department of Pediatric Radiology, Emory University, Atlanta, Georgia.
authors.forename: Adina
authors.initials: A
authors.lastname: Alazraki
authors.affiliation: Department of Gynecology and Obstetrics, Emory University, Atlanta, Georgia. Electronic address: lbhadda@emory.edu.
authors.forename: Lisa
authors.initials: L
authors.lastname: Haddad
mesh_terms: D000038:Abscess / Q000209:etiology* / Q000601:surgery; D000293:Adolescent; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D005260:Female; D006801:Humans; D012008:Recurrence; D014845:Vulvar Diseases / Q000209:etiology* / Q000601:surgery
keywords: Crohn's disease; Inflammatory bowel disease; Vulvar abscess