XXXX and @entity14 : @entity5 complicating longstanding active perianal disease.

@entity1 @entity5 @entity957 @entity1157 @entity189 @entity344 @entity102 @entity292 @entity14 @entity850 @entity694 @entity30 @entity1049
OBJECTIVES: Reports of @entity30 ( @entity30 )-associated @entity14 are being cited in the medical literature with increasing frequency. Our aim was to identify subgroups of @entity1 with risk factors that may account for this. METHODS: We reviewed the medical records of 16 @entity1 with the simultaneous diagnosis of @entity30 and @entity14 and, in addition, reviewed previously reported cases of @entity30 -associated @entity14 . RESULTS: Eight male and eight female @entity1 presented with 18 @entity189 : four right colon, four transverse, two descending colon, and eight rectal lesions. Median age at presentation was 48 yr. The mean duration of @entity30 before presentation of @entity189 was 19.7 yr. Two lesions were discovered in strictured bowel segments. Two @entity1 had @entity5 . One had simultaneous cecal and left @entity694 . The other underwent resection of a right @entity1049 and 5 yr later presented with transverse @entity694 . Eight @entity1 had @entity5 ; all were diagnosed preoperatively. Six of these @entity1 had a history of severe perianal @entity30 . Six had undergone multiple incision and drainage procedures for perirectal abscesses and @entity292 . Two developed @entity5 in defunctionalized rectal stumps. One of these @entity1 presented with simultaneous @entity957 and @entity1157 . CONCLUSIONS: @entity344 in association with @entity30 has been reported. Symptoms of @entity102 may obscure clinical manifestations of @entity5 and thereby delay diagnosis. @entity30 @entity1 with long-standing anorectal or perianal disease and @entity850 may well warrant surveillance endoscopy and biopsy of involved areas with the hope of earlier detection and treatment of these @entity5 .
