The association between gastrointestinal disorders and arthritis is we
ll recognized. We describe a 54-yr-old man who presented with a serone
gative oligoarthritis in whom the clinical picture was consistent with
a hypertrophic osteoarthropathy. An occult septic focus was identifie
d when a barium enema demonstrated a diverticular abscess, treatment o
f which led to a complete resolution of symptoms.