Psoas abscess: a rare complication of Crohn's disease.
Psoas abscess is a rare complication of Crohn's disease.


METHODS
We evaluated the incidence of psoas abscess on 312 patients with Crohn's disease, seen at our institution between 1992-2001.


RESULTS
We encountered three cases of psoas abscess (0.9%). One patient was managed with ileocolic resection and immediate anastomosis, while in two patients a percutaneous drainage was first performed and then, after 12 days of total parenteral nutrition, a resection of the diseased bowel with immediate reconstruction was carried out.


CONCLUSIONS
A correction of the nutritional deficiencies is mandatory. Percutaneous computed-tomography guided drainage of the abscess with intestinal resection with immediate anastomosis, performed after a parenteral hyperalimentation, should be the method of choice in the management of such patients.
Veroux
M
M
Department of Surgery, Transplantation and Advanced Technologies, University Hospital of Catania, Italy. veroux@unict.it
Angriman
I
I
Ruffolo
C
C
Fiamingo
P
P
Caglià
P
P
Madia
C
C
Cannizzaro
M A
MA
D'Amico
D F
DF
D000293:Adolescent; D000328:Adult; D000368:Aged; D003424:Crohn Disease / Q000150:complications*; D013505:Digestive System Surgical Procedures / Q000379:methods; D004322:Drainage / Q000379:methods; D005260:Female; D006801:Humans; D015994:Incidence; D008297:Male; D008875:Middle Aged; D016659:Psoas Abscess / Q000000981:diagnostic imaging / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome