Coexistence of endometriosis and inflammatory bowel disease: a case series and practical diagnostic review

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This review and case series highlights the diagnostic and therapeutic challenges of concurrent endometriosis and inflammatory bowel disease, emphasizing early recognition and multidisciplinary collaboration.

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The provided text is not a biomedical research paper about disease; it is a General Data Protection Regulation (GDPR) privacy policy describing how the Spanish Society of Digestive Pathology (SEPD) collects, uses, and protects personal data (including purposes such as journal/publication mailing, awards management, newsletters, rights to access/rectification/deletion, and security measures). There is no mention of study design, patient population, methods, results, or limitations related to medical conditions. Because the content contains no scientific or clinical findings, it cannot be summarized as biomedical research. The paper does not explicitly discuss endometriosis or adenomyosis; it was included in the corpus via a keyword match in the upstream search index.

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Abstract

OBJECTIVES: The objective of this review is to identify key clinical lessons and highlight diagnostic and therapeutic strategies derived from case reports and recent literature. Particular attention is given to recognising overlapping presentations, optimising multimodal imaging and endoscopic evaluation, and promoting multidisciplinary collaboration between gastroenterologists, gynaecologists, radiologists, and pathologists to enhance diagnostic accuracy and guide patient-centred management. METHODS: A case series was conducted at Hospital Universitari Germans Trias i Pujol (2019-2024), including patients with confirmed inflammatory bowel disease and histologically or radiologically verified endometriosis. A literature review was performed using PubMed and Scopus databases (1990-2024) with search terms: "endometriosis," "inflammatory bowel disease," "Crohn's disease," "ulcerative colitis," "diagnosis," and "multidisciplinary management. CASE PRESENTATION: Case one involved a 35-year-old pregnant woman with Crohn's disease presenting acute abdominal pain initially considered as appendiceal plastron; endometriosis was subsequently confirmed postpartum following laparoscopic appendectomy. Case two concerned a 68-year-old woman with Crohn's disease and rectovesical fistula complications, where histopathological analysis of resected sigmoid tissue revealed concurrent deep infiltrating endometriosis. Case three presented a 36-year-old woman with ileal Crohn's disease experiencing persistent pelvic pain initially misattributed to inflammatory bowel pathology before definitive endometriosis diagnosis. Case four involved a 43-year-old woman with Crohn's disease and axial spondylitis, whose chronic pelvic symptoms were ultimately attributed to deep infiltrating endometriosis. CONCLUSIONS: The coexistence of endometriosis and IBD presents significant diagnostic and therapeutic challenges requiring multidisciplinary evaluation. Early recognition and targeted imaging strategies are fundamental for preventing delayed diagnoses and optimising patient outcomes.
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The General Data Protection Regulation (Regulation (EU) 2016/679) harmonizes Data Protection legislation across the European Union, increasing the protection of individuals and giving them greater control over their personal data. At the Spanish Society of Digestive Pathology (SEPD), we have always been concerned about the protection of personal data. We have therefore updated our Privacy Policy in order to bring it into line with the new regulations and to inform you of the changes that affect your rights: Responsible for the processing of your personal data: SOCIEDAD ESPAÑOLA DE PATOLOGÍA DIGESTIVA (SEPD), CIF: G28486280 and registered office at Calle Sancho Dávila 6, 28028 Madrid. The data collected by the Sociedad Española de Patología Digestiva (SEPD) are obtained in different ways (website, e-mail, electronic forms or on paper) through its activity as a business association and service provider; these data will become part of an information file for which it is responsible. 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Condition tags

endometriosisdie_deep_infiltrating

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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.

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europepmc
last seen: 2026-08-09T06:10:49.860119+00:00
openalex
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