Bowel Endometriosis Mimicking Crohn Disease

Foulon A, Arthur Foulon, Raphael Pichois, Pichois R, Raphaël Pichois, Sabbagh C, Charles Sabbagh, Mathurin Fuméry, Mathurin Fumery, Fumery M
Inflammatory bowel diseases · 2021 · vol. 27(3) , pp. e26–e27 · doi:10.1093/ibd/izaa345 · PMID:33393611 · W3119063696
Case report OA: closed CC0 ⤵ 3 in-corpus citations
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⚙ AI-generated summary by gemini-2.5-flash-lite, 2026-06-09 ⓘ

This paper discusses how bowel endometriosis can present with gastrointestinal symptoms that mimic Crohn's disease, leading to diagnostic challenges.

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Abstract

To the editors, Endometriosis is a chronic disease that affects approximately 10% of women. Gastrointestinal symptoms are frequent in patients with endometriosis; indeed, the bowel is the main site for endometriosis outside the genital tract (observed in 4% to 37% of patients).1 The rectosigmoid colon is the most frequent site for bowel endometriosis (in 51% of patients), followed by the appendix (15%), the rectum (14%), the small bowel (15%), and the cecum (5%).2 Isolated digestive endometriosis (ie, in the absence of a pelvic disease site) is observed in 20% of patients.2 The most common symptoms of endometriosis are dysmenorrhea, deep dyspareunia, pain on defecation during menstruation, and chronic pain; however, some patients are asymptomatic. Other rarer gastrointestinal symptoms include diarrhea, constipation, rectal bleeding, dyschezia, tenesmus, abdominal distension, and (in late-stage disease) obstructive symptoms. Hence, some patients with bowel endometriosis are diagnosed with irritable bowel syndrome. In very...

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Condition tags

endometriosisbowel_endometriosisdysmenorrheadyspareuniairritable_bowel_syndrome

MeSH descriptors

Crohn Disease Crohn Disease Crohn Disease Endometriosis Endometriosis Endometriosis Diagnosis, Differential Diagnosis, Differential Female Female Humans Humans

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

References (2)

Cited by (5)

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