Ileal endometriosis in a patient with Crohn's disease: a diagnostic challenge

Abstract

We present the ultrasound finding of intestinal endometriosis in a patient with stricturing Crohn's disease and clinical worsening. The images highlight a hypoechoic and hyperemic thickening of the pelvic ileum wall. Given the diagnostic challenge entailed by this entity in young women with inflammatory bowel disease, due to the association between both conditions and their similar symptoms, it seems relevant to us to include it in the differential diagnosis when performing intestinal ultrasound in this patient population.