Gastroenterology Book

Inflammatory Bowel Disease

  • Gynecologic Manifestations of Crohn's Disease

http://www.fpnotebook.com/

Gynecologic Manifestations of Crohn's Disease

Aka: Gynecologic Manifestations of Crohn's Disease, Crohn's Disease in Women
  1. See Also
    1. Inflammatory Bowel Disease
    2. Crohn's Disease
    3. Crohn's Disease in Pregnancy
  2. Enteric Fistulas
    1. Enterovesical fistula (bowel to Bladder fistula)
      1. Less common in women than enterovaginal fistula
      2. Presentations
        1. Pneumaturia and Urinary Tract Infection symptoms
        2. Polymicrobial Urinary Tract Infection
    2. Enterovaginal fistula
      1. Presentations
        1. Fecal Vaginal Discharge
        2. Passing of gas vaginally
      2. Differential diagnosis
        1. Diverticulitis
        2. Colon Cancer
      3. Diagnostic modalities
        1. Vaginoscopy with rectal insufflation
        2. Gastrografin enema
        3. Rectal methylene blue stain
        4. Fistulogram with contrast dye
    3. Other fistula locations
      1. Uterus
      2. Adnexa
      3. Vulva
      4. Perineum
  3. Perineum and Vulva
    1. Perineal lesions after Vaginal Birth with episiotomy
      1. Responds to Flagyl with other Crohn's Disease agents
    2. Vulvar lesions
      1. Presentations
        1. Isolated granulomatous vulvar lesions
        2. Pyoderma Gangrenosum of the vulva
        3. Vulvar Cancer (squamous cell)
        4. Vulvar lesions or fistulas
      2. Differential Diagnosis
        1. Bartholin's Gland Cyst
        2. Tuberculosis
        3. Actinomycosis
        4. Lymphogranuloma venereum
        5. Genital Herpes
  4. Miscellaneous gynecologic associations
    1. Granulomatous lesions of Adnexa Differential Diagnosis
      1. Pelvic Inflammatory Disease
      2. Endometriosis
      3. Appendicitis
      4. Diverticulitis
    2. Menstrual abnormalities (may be exacerbated by NSAIDs)
      1. Dysmenorrhea
      2. Amenorrhea
      3. Menorrhagia
      4. Cyclic variation in bowel symptoms with Menses
  5. Psychological Affects
    1. Altered self-image and body image
    2. Sexual Dysfunction (e.g. perineal pain)
    3. Socially inhibited
  6. References
    1. Feller (2001) Am Fam Physician 64(10):1725-8 [PubMed]
    2. Weber (1995) Obstet Gynecol 86:843-7 [PubMed]

You are currently viewing the original 'fpnotebook.com\legacy' version of this website. Internet Explorer 8.0 and older will automatically be redirected to this legacy version.

If you are using a modern web browser, you may instead navigate to the newer desktop version of fpnotebook. Another, mobile version is also available which should function on both newer and older web browsers.

Please Contact Me as you run across problems with any of these versions on the website.

Navigation Tree