Crohn's Disease with Left Psoas Abscess: Report of a Case

We report herein a case of Crohn's disease complicated with a left psoas muscle abscess. The patient was a 23-year-old man who had been undergoing treatment for Crohn's disease for about 7 years. He presented with abdominal and extremity pains, anorexia and fever on admission. A CT scan re...

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Veröffentlicht in:The Showa University Journal of Medical Sciences 1999, Vol.11(4), pp.297-302
Hauptverfasser: SHIBUSAWA, Miki, TSUNODA, Akira, SAWATANI, Tetsuo, YAMAZAKI, Katsuo, KAMIYAMA, Goichi, TAKATA, Manabu, KUSANO, Mitsuo
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Sprache:eng
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Zusammenfassung:We report herein a case of Crohn's disease complicated with a left psoas muscle abscess. The patient was a 23-year-old man who had been undergoing treatment for Crohn's disease for about 7 years. He presented with abdominal and extremity pains, anorexia and fever on admission. A CT scan revealed left psoas and retroperitoneal abscesses and a barium enema also showed a large extraluminal cavity. A partial resection of the descending colon, colostomy and extraperitoneal drainage were carried out. Although Crohn's disease is often complicated with abdominal abscesses, a psoas abscess is very rare. A preoperative diagnosis of the abscess can be made using radiological studies without any difficulty. However, adequate drainage of the abscess must be achieved as soon as possible and the operation may depend on the site of involvement and the condition of the patient.
ISSN:0915-6380
2185-0968
DOI:10.15369/sujms1989.11.297