The gynaecological presentation of Crohn's disease

SummaryThe classic presentation of Crohn's disease is with lower abdominal pain and bowel upset associated with weight loss and other systemic manifestations. Although most patients go to a surgeon, the gynaecologist sometimes meets a patient with undiagnosed lower abdominal pain in the absence of bowel symptoms or with a persistent gynaecological problem such as vaginal discharge or dyspareunia.