Metastatic Crohn's disease

Inflammatory bowel disease, especially Crohn's disease, demonstrates many extraintestinal manifestations. As a result, various dermatological lesions that have a different etiopathogenesis can be seen. In the case of metastatic Crohn's disease, extraintestinal granulomatous lesions may be observed in the orofacial and perianal regions, either accompanying bowel symptoms or as the first sign of disease. We report on a 30-year-old woman with sacral metastatic Crohn's disease who was initially treated with topical corticosteroid therapy and then underwent excision of the lesion followed by reconstruction utilizing bilateral advancement flaps. © Springer-Verlag 2002.