[Psoas abscess as the initial manifestation of Crohn's disease. Report of 3 cases].
BACKGROUND
Psoas abcess complicating Crohn's disease is a rare condition. Diagnosis remains difficult, especially when it is the first sign of Crohn's disease.


OBJECTIVE
We report here 3 patients presenting with psoas abcess as the initial manifestation of the disease, among 118 patients with Crohn's disease seen between 1990 and 2006.


METHODS
Symptoms and signs were fever, lower abdominal quadrant pain or tenderness and psoitis. Diagnosis was confirmed in all cases by computed axial tomography. In 2 cases, psoas abcess secondary to a periappendicular abcess or a colonic neoplasm were suspected, and the etiology was made correctly only after operation. Effective therapy included antibiotics, drainage and bowel resection.
Ennaifer
Rym
R
Service de Gastroentérologie, Hôpital H. Thameur, Tunis.
Ouakaa-Kchaou
Asma
A
Belhadj
Najet
N
Elloumi
Héla
H
Gargouri
Dalila
D
Kochlef
Asma
A
Kilani
Afef
A
Romani
Malika
M
Kharrat
Jamel
J
Ghorbel
Abdeljabbar
A
D000293:Adolescent; D000328:Adult; D003424:Crohn Disease / Q000139:chemically induced / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D016659:Psoas Abscess / Q000209:etiology*