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Crohn's disease complicated by multiple stenoses and internal fistulas clinically mimicking small bowel endometriosis

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dc.contributor.author Teke, Zafer
dc.contributor.author Aytekin, Faruk Önder
dc.contributor.author Atalay, Ali Özgür
dc.contributor.author Demirkan, Neşe Çallı
dc.date.accessioned 2019-08-16T12:18:46Z
dc.date.available 2019-08-16T12:18:46Z
dc.date.issued 2008
dc.identifier.issn 10079327 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/7255
dc.description.abstract We report a 31-year-old woman with Crohn's disease complicated by multiple stenoses and internal fistulas clinically misdiagnosed as small bowell endometriosis, due to the patient's perimenstrual symptoms of mechanical subileus for 3 years; at first monthly, but later continuous, and gradually increasing in severity. We performed an exploratory laparotomy for small bowel obstruction, and found multiple ileal strictures and internal enteric fistulas. Because intraoperative findings were thought to indicate Crohn's disease, a right hemicolectomy and partial distal ileum resection were performed for obstructive Crohn's ileitis. Histopathology of the resected specimen revealed Crohn's disease without endometrial tissue. The patient made an uneventful recovery from this procedure and was discharged home 10 d post-operatively. The differential diagnosis of Crohn's diease with intestinal endometriosis may be difficult pre-operatively. The two entities share many overlapping clinical, radiological and pathological features. Nevertheless, when it is difficult to identify the cause of intestinal obstruction in a woman of child-bearing age with cyclical symptoms suggestive of small bowel endometriosis, Crohn's disease should be included in the differential diagnosis. © 2008 WJG. All rights reserved.
dc.language.iso English
dc.relation.isversionof 10.3748/wjg.14.146
dc.rights info:eu-repo/semantics/openAccess
dc.subject Crohn's disease
dc.subject Endometriosis
dc.subject Inflammatory bowel disease
dc.subject Internal fistula
dc.subject Intestinal obstruction
dc.subject Regional ileitis
dc.subject Stricture
dc.subject oral contraceptive agent
dc.subject adult
dc.subject article
dc.subject case report
dc.subject clinical feature
dc.subject computer assisted tomography
dc.subject Crohn disease
dc.subject diagnostic error
dc.subject differential diagnosis
dc.subject echography
dc.subject end to end anastomosis
dc.subject endometriosis
dc.subject female
dc.subject fluid therapy
dc.subject hemicolectomy
dc.subject histopathology
dc.subject human
dc.subject ileum resection
dc.subject intestine fistula
dc.subject intestine stenosis
dc.subject laparotomy
dc.subject premenstrual syndrome
dc.subject small intestine endometriosis
dc.subject suction drainage
dc.subject Adult
dc.subject Constriction, Pathologic
dc.subject Crohn Disease
dc.subject Diagnosis, Differential
dc.subject Female
dc.subject Humans
dc.subject Intestinal Fistula
dc.subject Intestinal Obstruction
dc.subject Intestine, Small
dc.title Crohn's disease complicated by multiple stenoses and internal fistulas clinically mimicking small bowel endometriosis
dc.type Article
dc.relation.journal World Journal of Gastroenterology
dc.identifier.volume 14
dc.identifier.issue 1
dc.identifier.startpage 146
dc.identifier.endpage 151
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index WOS
dc.identifier.index PubMed

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