Endometriosis of the terminal ileum simulating the clinical, roentgenographic, and surgical findings in Crohn's disease.
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This case study describes a 38-year-old nulliparous female whose terminal ileum endometriosis presented with symptoms and findings indistinguishable from Crohn's disease.
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Abstract
A 38-yr-old nulliparous female presented with endometriosis of the terminal ileum which mimicked the clinical, roentgenographic, and surgical findings of Crohn's disease. The patient presented with diarrhea, right lower quadrant pain, fever, and significant weight loss. At surgery, the terminal ileum was inflamed, indurated, thickened, and angulated. Ileal endometriosis may be expected to simulate Crohn's disease, because intestinal endometriosis frequently produces local bowel inflammation, adhesions, stricture, and angulation. Ileal endometriosis should be carefully considered in the differential diagnosis of Crohn's disease in menstruating females who are nulliparous and have dysmenorrhea, dyspareunia, dyschezia, menometrorrhagia, or other perimenstrual symptoms. It is important not to mistake endometriosis for Crohn's disease because endometriosis has a different therapy.
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Cited by (21)
- Terminal ileal endometriosis masquerading as Crohn’s disease: a rare cause of small bowel obstruction and perforation in a middle-aged woman 2025
- Concurrent Terminal Ileocaecal Crohn’s Disease and Terminal Ileal Endometriosis: Multimodal Assessment with CT, MRI, and PET/CT Imaging 2025
- Ileal Endometriosis: a Rare Cause of Enterocutaneous Fistula 2018
- Laparoscopic management of ileal endometriosis: presented as sub-acute intestinal obstruction 2015
- Intestinal Obstruction from Multifocal Endometriosis: A Case Report and Review of Literature 2014
- Obstrucción intestinal en un caso de endometriosis extragenital 2014
- Colonic Endometriosis Presenting as a Sigmoid Stricture Requiring Laparoscopic Colonic Surgery for Diagnosis and Treatment 2013
- Coincidence of active Crohn's disease and florid endometriosis in the terminal ileum: A case report 2013
- Increased risk of inflammatory bowel disease in women with endometriosis: a nationwide Danish cohort study 2011
- Acute small bowel obstruction caused by endometriosis: A case report and review of the literature 2008
- Crohn’s disease complicated by multiple stenoses and internal fistulas clinically mimicking small bowel endometriosis 2008
- Endometriosis ileal y enfermedad de Crohn. Un diagnóstico diferencial problemático 2007
- Bowel endometriosis: CT-enteroclysis 2006
- REVIEW: Evidence for asymmetric distribution of lower intestinal tract endometriosis 2004
- Endometriosis ileal. A propósito de un caso 2001
- Ileal Endometriosis: Radiographic Findings in Five Cases 2000
- Crohn's disease mimicking as bowel endometriosis 2000
- Small-bowel endometriosis masquerading as pancreatitis 1999
- Ileal Endometriosis Masquerading as Crohn's Ileitis 1997
- Acute small bowel obstruction caused by endometriosis. 1996
- Mucosal changes in the large bowel with endometriosis: A possible cause of misdiagnosis of colitis? 1994
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