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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