Case report: magnetic resonance imaging in the diagnosis of epidural abscess complicating perirectal fistulizing Crohn's disease.
Epidural abscess is a rare complication of fistulizing Crohn's disease (CD), potentially appearing as neurologic symptoms or back and leg pain. We report a case of a large epidural abscess resulting from uncontrolled fistulizing CD, which was rapidly defined using gadolinium-enhanced magnetic resonance imaging (MRI). Whenever caudal neurologic symptoms, back pain, and fever arise in CD patients, diagnostic MRI of the pelvis in addition to conventional computerized tomography should be considered to identify perirectal fistulization to the spine.
Heidemann
Jan
J
Division of Gastroenterology & Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.
Spinelli
Kristine S
KS
Otterson
Mary F
MF
Binion
David G
DG
D000328:Adult; D000900:Anti-Bacterial Agents; D016470:Bacteremia / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D004359:Drug Therapy, Combination / Q000008:administration & dosage; D020802:Epidural Abscess / Q000150:complications / Q000175:diagnosis*; D005500:Follow-Up Studies; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D012003:Rectal Fistula / Q000150:complications / Q000175:diagnosis*; D018570:Risk Assessment; D016868:Serratia Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D012706:Serratia marcescens / Q000302:isolation & purification; D012720:Severity of Illness Index; D013118:Spinal Cord Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D016896:Treatment Outcome
D000900:Anti-Bacterial Agents