Case Report: A migrating stitch in a Crohn’s Disease patient

Abstract

More than half of Crohn’s disease (CD) patients undergo one or more surgical interventions during their lifetime. The main surgical indications for CD are fistulas and stenosis and other emergency conditions such as megacolon and perforation. The risk of CD recurrence at the surgery site is high. Here, we report the case of a migrating suture stitch that moved from the abdomen to the subcutaneous tissue of the thigh in a CD patient having undergone intestinal surgery years before. To the best of our knowledge, there are no previously reported cases of migrating stitches, especially in CD. However, CD is a disease at high risk of surgery due to its clinical characteristics and complications. In the most doubtful cases, it is advisable to co-operate in a multidisciplinary perspective to provide the patient with the best management.