Stricturing ileocaecal endometriosis: a rare concurrent aetiology in a patient with Crohn’s disease

Teagan Fink, Wei Wei Yong, Wei Yong, Neil Jayasuriya
Journal of surgical case reports · 2023 · vol. 2023(1) , pp. rjac605 · doi:10.1093/jscr/rjac605 · PMID:36685117 · W4317213832
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⚙ AI-generated summary by claude@2026-06, 2026-06-07 ⓘ

This case report describes a patient with Crohn's disease who was found to have concurrent ileocecal endometriosis, presenting diagnostic and management challenges due to similar symptoms.

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Abstract

A 34-year-old female presented with colicky abdominal pain and symptoms suggestive of subacute small bowel obstruction in the setting of Crohn's disease (CD). She was on maximal medical therapy and had undergone endoscopic balloon dilatation of a terminal ileal stricture on two occasions. Magnetic resonance enterography demonstrated acute inflammation in two segments of the terminal ileum. The patient proceeded to laparoscopic ileocolic resection. The histopathology revealed a segment of stricturing CD with chronic inflammatory change. There was also an unexpected finding of a segment of stricturing ileal disease secondary to endometriosis. Endometriosis affecting the ileum is uncommon, and concurrent CR and endometriosis is very rare. Further research is required to understand whether these two conditions are associated. Here, we present a discussion on the histopathology differences between endometriosis and CD. Clinicians are reminded of these rare concurrent conditions, as the symptomatology may mimic one another, thus impacting the treatment and management.

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Condition tags

endometriosis

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 (17)

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