Abstract
A number of complications are known to occur in the course of inflammatory bowel diseases. However, perianal fistulas and fissure can occur with or without active inflammatory bowel disease, occurrence of which prior to the development of ulcerative colitis is a rare occasion.
Highlights
A number of complications are known to occur in the course of inflammatory bowel diseases
Perianal disease is typical for patients with crohn disease (CD), it should not be neglected in patients with ulcerative colitis (UC)
A pelvic Magnetic resonance imaging (MRI) is used as first diagnostic procedure, but Citation: Žarko B, Mirjana VM, Marko B, Barbara M (2021) Ulcerative Colitis Presenting as an Anal Fissure in 78-Years-Old Woman
Summary
In chronic fissures the association with other pathologies should be considered. Patient reports symptoms of weight loss, weakness or abdominal symptoms referable to the gastrointestinal track. When presenting with perianal disease patient should be check for inflammatory bowel disease
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