Endometriosis ileal y enfermedad de Crohn. Un diagnóstico diferencial problemático

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AI-generated summary by claude@2026-06, 2026-06-21

This paper explores the diagnostic challenges distinguishing endometriosis of the ileum from Crohn's disease, highlighting their overlapping clinical and imaging features.

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Abstract

Endometriosis is an endometrial tissue proliferation that occurs in any extrauterine site and is usually confined to the pelvis. When the terminal ileum is affected, this entity can simulate Crohn's disease both clinically and radiologically. We describe 2 patients previously diagnosed with Crohn's disease with inadequate response to treatment, who showed intestinal obstruction located in the ileum. One patient had an enterocutaneous fistula, which is extremely unusual. In both patients intestinal endometriosis was diagnosed after histopathologic assessment. Although complex, the differential diagnosis between endometriosis and Crohn's disease should be kept in mind since the prognosis and treatment of these 2 entities differ.

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Condition tags

endometriosis

MeSH descriptors

Crohn Disease Endometriosis Ileal Diseases Intestinal Obstruction Adult Crohn Disease Crohn Disease Diagnosis, Differential Endometriosis Endometriosis Female Humans Ileal Diseases Ileal Diseases Intestinal Obstruction Intestinal Obstruction Middle Aged Radiography

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

References (9)

Cited by (2)

Source provenance

europepmc
last seen: 2026-07-29T06:27:48.050232+00:00
openalex
last seen: 2026-06-10T17:14:06.276822+00:00
pubmed
last seen: 2026-05-13T22:14:48.452140+00:00
License: CC0 · commercial use OK