A Case of Psoas Muscle Abscess in Crohn's Disease.
- Author:
Jin Hee KIM
1
;
Sae Kyung JANG
;
Ji Yong AHN
;
Bong Ki CHA
;
Dae Won KIM
;
Sung Moon JUNG
;
Yo Han HONG
;
Hyung Jun KIM
;
Jae Hyuk DO
;
Sill Moo PARK
;
Sung Il PARK
Author Information
1. Department of Internal Medicine, Chungang University College of Medicine, Seoul, Korea. mdskc@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Psoas abscess;
Crohn's disease;
Colectomy with surgical drainage
- MeSH:
Abdominal Pain;
Abscess*;
Adult;
Anti-Bacterial Agents;
Colectomy;
Colonoscopy;
Crohn Disease*;
Diagnosis;
Diarrhea;
Drainage;
Extremities;
Fever;
Hospitalization;
Humans;
Male;
Mesalamine;
Prednisolone;
Psoas Abscess;
Psoas Muscles*;
Rectal Fistula;
Tomography, X-Ray Computed
- From:Korean Journal of Gastrointestinal Endoscopy
2003;26(2):94-98
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Psoas abscess, complicating Crohn's disease, is a rare condition. Typical symptoms and signs are fever, abdominal tenderness and limb pain. Our patient had fever and abdominal tenderness. The diagnosis is made by abdominopelvic CT scan. Medical therapy with antibiotics, surgical resection of the affected bowel segment with end to end anastomosis and surgical drainage of focus are treatment of choice. We have experienced one case of psoas abscess with Crohn's disease in 28-year-old male patient. He visited our hospital due to diarrhea and lower abdominal pain. The colonoscopy revealed active stage of Crohn's disease. Then he has taken methyl prednisolone and mesalazine. During the hospitalization, we detected anal fistula and psoas abscess on abdominal CT. He was managed with antibiotics and surgical drainage after colectomy. We present the case with brief review of the articles.
