Kindt J, Gastinger I, Retzke U
Zentralbl Gynakol. 1982;104(21):1379-84.
Typical morphological changes resulting from Crohn's disease, including hyperplasia of resident lymphatic tissue, abscesses, fistulae, adhesions, and diverticula, are described in this paper, with reference being made to a case history. The following demands are derived from the findings for gynaecological practice: 1. intestinal diagnosis for all unelucidated adnexal tumours; 2. cooperation with surgeons for surgery; 3. anal lesions should in any case be regarded as a reason to think of Crohn's disease; 4. Crohn's disease should be included into differential diagnosis, whenever pathological alterations are recordable from the intestines with no conspicuous findings from internal genitals on exploratory laparotomy.
本文结合病例描述了克罗恩病引起的典型形态学变化，包括固有淋巴组织增生、脓肿、瘘管、粘连和憩室。从这些发现中得出了妇科实践的以下要求：1. 对所有不明附件肿瘤进行肠道诊断；2. 与外科医生合作进行手术；3. 无论如何，肛门病变都应被视为考虑克罗恩病的一个理由；4. 当剖腹探查术中肠道有病理改变而内生殖器无明显发现时，应将克罗恩病纳入鉴别诊断。
