Gladisch R, Schlauch D, Verbeke L S, Dempfle C E
I. Medizinische Klinik, Klinikum Mannheim, Universität Heidelberg.
Leber Magen Darm. 1992 May;22(3):125-8.
Ileocecal resection was performed in two female patients with stenosis of the terminal ileum. Histological findings confirmed the clinical diagnosis of Crohn's disease in the first case, although focal intestinal endometriosis was detected. The resection specimens of the other patient exclusively showed lesions of endometriosis extending from the subserosa to the mucosal tissue. Typical lesions of Crohn's disease were totally absent in this case. Although not very frequent, endometriosis is an important differential diagnosis of Crohn's disease in young females.
对两名患有回肠末端狭窄的女性患者进行了回盲部切除术。组织学检查结果证实了第一例患者克罗恩病的临床诊断,不过检测到了局灶性肠道子宫内膜异位症。另一例患者的切除标本仅显示了从浆膜下层延伸至黏膜组织的子宫内膜异位症病变。此病例中完全没有典型的克罗恩病病变。虽然并不常见,但子宫内膜异位症是年轻女性克罗恩病的一项重要鉴别诊断。