Systemic lupus erythematosus complicated by Crohn’s disease with rectovaginal fistula

摘要

Endoscopic presentations. a Initial endoscopic presentation: several shallow rectal ulcers, b 2 months after hydrocortisone and mesalazine enema: huge and deep rectal ulcers, c 1.5 months after anti-viral therapy: healing ulcers, d progressive huge rectal ulcer 3 months later, e rectovaginal fistula f No residual fistula tract or inflammation after vedolizumab and surgical intervention