The fallopian tube and ovary may be affected in a woman with Crohn’s disease.
Involvement of the ovary in a patient with Crohn’s disease may involve:
(1) an enteric fistula with or without abscess
(2) granulomatous salpingo-oophoritis
(3) loss of ovarian follicle reserve under certain circumstances (age >= 30 years, colonic involvement by Crohn’s disease)
Ovarian granulomas may be:
(1) necrotizing
(2) suppurative
(3) nonsuppurative
The diagnosis of Crohn’s involvement requires exclusion of other diagnoses.
The ovarian involvement may precede the onset of ileitis.
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Specialty: Obstetrics & Gynecology
