Psoas abscess. A rare complication of Crohn's disease.
Psoas abscess complicating Crohn's disease is a rare condition. Fever, abdominal tenderness, limb pain and hip contracture are typical signs but only present in half of the cases. Cultures of the pus mostly grow a mixture of enterobacteria. The diagnosis is made by CT-scan. Medical therapy always results in recurrence of the abscess. Resection of the fistula and the affected bowel segment with end-to-end anastomosis is the therapy of choice. A case report is presented, followed by a review of the literature.
Cools
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Sint-Elisabethziekenhuis, Dienst Heelkunde, Turnhout.
Bosmans
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D000328:Adult; D003092:Colitis / Q000150:complications / Q000601:surgery; D003108:Colonic Diseases / Q000150:complications / Q000209:etiology; D003424:Crohn Disease / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000209:etiology; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000209:etiology*; D014057:Tomography, X-Ray Computed