Vertebral osteomyelitis as a complication of Crohn's disease.
Vertebral osteomyelitis arising from an enteric fistula in patients with inflammatory bowel disease is rare. We report on a patient with Crohn's disease who developed an enteric fistula, resulting in a presacral abscess and vertebral osteomyelitis involving the L4 and L5 vertebral bodies and related disc spaces. This was managed by a defunctioning colostomy with drainage of the pre-sacral abscess. The vertebral lesion was successfully managed non-operatively.
Pande
K C
KC
Centre for Spinal Studies and Surgery, University Hospital, Queen's Medical Centre, Nottingham, UK.
Prince
H G
HG
Kerslake
R W
RW
D000038:Abscess / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000328:Adult; D003125:Colostomy; D003424:Crohn Disease / Q000150:complications*; D004322:Drainage; D006801:Humans; D008297:Male; D010019:Osteomyelitis / Q000175:diagnosis / Q000209:etiology*; D011859:Radiography; D013122:Spinal Diseases / Q000175:diagnosis / Q000209:etiology*; D013131:Spine / Q000000981:diagnostic imaging / Q000473:pathology