[Psoas abscess in Crohn's disease. Preoperative evaluation and surgical attitude].
Three patients with psoas abscess secondary to Crohn's diseases are reported with the aim of discussing the diagnosis and surgical management of these patients. It is concluded that computerized tomography is the method of choice for the diagnosis and follow up of this complication. Surgery should be individualized but in stable patients abscess drainage should be attempted in addition to resection of the intestine involved. Finally, given the great risk of pulmonary thromboembolism in these patients, intensive prophylactic anticoagulant therapy is required.
Acea Nebril
B
B
Servicio de Cirugía General A, Hospital Juan Canalejo, La Coruña.
Freire Rodríguez
D
D
Sánchez González
F
F
Fraguela Mariña
J
J
Taboada Filgueira
L
L
Gómez Freijoso
C
C
D000293:Adolescent; D000328:Adult; D019072:Antibiotic Prophylaxis; D001442:Bacteroides Infections / Q000150:complications* / Q000175:diagnosis; D001441:Bacteroides fragilis; D003424:Crohn Disease / Q000150:complications*; D004927:Escherichia coli Infections / Q000150:complications* / Q000175:diagnosis; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D016659:Psoas Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014385:Tuberculosis, Gastrointestinal / Q000150:complications* / Q000175:diagnosis