Rindos Noah, Ecker Amanda, Carter Gloria, Mansuria Suketu
Department of Obstetrics and Gynecology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
Department of Obstetrics and Gynecology, Magee-Womens Hospital, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania.
J Minim Invasive Gynecol. 2015 Jul-Aug;22(5):914-6. doi: 10.1016/j.jmig.2015.04.010. Epub 2015 Apr 20.
We present an interesting case of a 35-year-old nulligravida with Crohn's disease with ovarian involvement. This is a rare manifestation of Crohn's disease, felt to arise from fistulization between the ovary and the intestine, most commonly the ileum. Our review of the literature revealed 11 additional case reports published in English with a total of 15 cases. The mean age at time of presentation was 33.7 years, with a predominance of right-sided involvement. This series included 10 patients with affected right ovaries, 3 with affected left ovaries, and 2 with bilateral involvement. We conclude that ovarian involvement in Crohn's disease, although rare, can exist, and that the gynecologic surgeon should be aware of this relevant disease manifestation.
我们报告了一例35岁未孕女性患克罗恩病且累及卵巢的有趣病例。这是克罗恩病的一种罕见表现，被认为是由于卵巢与肠道（最常见的是回肠）之间形成瘘管所致。我们对文献的回顾发现，另有11篇英文病例报告发表，共计15例。发病时的平均年龄为33.7岁，右侧受累为主。该系列包括10例右侧卵巢受累患者、3例左侧卵巢受累患者和2例双侧受累患者。我们得出结论，克罗恩病累及卵巢虽然罕见，但确实可能存在，妇科外科医生应了解这种相关的疾病表现。
