Because @entity30 has a tendency to be transmural and to form @entity292 , it may involve contiguous organs. Gynecologic involvement is frequent, diverse and often difficult to diagnose. @entity32 involving adjacent structures has been reported in as many as one third of @entity1 . Enteric @entity292 to the vagina, uterus, ovaries, perineum and vulva also have been reported. Diagnosis may not be obvious if pelvic involvement precedes @entity29 , or if drainage is clear or mucoid. Abscesses, draining sinuses, @entity4 and @entity1066 of the perineum or vulva are common, and are caused by direct extension from the involved bowel or by @entity738 separated from the bowel by normal tissue. Lesions presenting with @entity1184 , a fluctuant mass or @entity1066 are easily misdiagnosed. @entity1866 are reported in more than one half of @entity1 . Pelvic manifestations of @entity30 can be psychologically crippling. @entity1 or physicians may be hesitant to address serious psychosocial morbidity. To optimize management, physicians must be aware of the diverse manifestations, confusing presentations and psychologic morbidity of @entity30 .

Gynecologic aspects of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients'] @entity32 :: ('MESH:D007249', 'Disease') :: ['Inflammation'] @entity738 :: ('MESH:D006099', 'Disease') :: ['granulomas'] @entity1184 :: ('MESH:D006984', 'Disease') :: ['vulvar hypertrophy'] @entity4 :: ('MESH:D004487', 'Disease') :: ['edema'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulceration'] @entity29 :: ('MESH:D015212', 'Disease') :: ['active bowel disease'] @entity1866 :: ('MESH:D008599', 'Disease') :: ['Menstrual abnormalities'] @entity292 :: ('MESH:D005402', 'Disease') :: ['fistulas'] @entity30 :: ('MESH:D003424', 'Disease') :: ["Crohn's disease"]
@entity30 :: (MESH:D003424,Disease) :: ['Crohn's disease']
