title: Large retroperitoneal abscess extended to the inferior right limb secondary to a perforated ileal Crohn's disease: the importance of the multidisciplinary approach.
abstract: The typical complications of Crohn's disease concerns small and large bowel. The full thickness inflammation of the intestinal wall develops in strictures, fistulas and abdominal abscesses. Nowadays the most accepted therapeutic for intra-abdominal abscess option is antibiotic therapy and, in case of need, percutaneous drainage of the abscess. If the abscess passes through the pelvic foramen the abscess can involve the inferior limbs. We report a case a perforation of terminal ileum in Crohn's disease complicated by a large abscess of the right iliac fossa reaching the spaces between the anterior lateral muscles of the right thigh as far as the anterior lateral pre-tibial region. We discuss the diagnostic and therapeutic options in a multidisciplinary context.
authors.forename: A
authors.initials: A
authors.lastname: Mascolino
authors.forename: G
authors.initials: G
authors.lastname: Scerrino
authors.forename: R
authors.initials: R
authors.lastname: Gullo
authors.forename: C
authors.initials: C
authors.lastname: Genova
authors.forename: G I
authors.initials: GI
authors.lastname: Melfa
authors.forename: C
authors.initials: C
authors.lastname: Raspanti
authors.forename: T
authors.initials: T
authors.lastname: Fontana
authors.forename: N
authors.initials: N
authors.lastname: Falco
authors.forename: C
authors.initials: C
authors.lastname: Porrello
authors.forename: G
authors.initials: G
authors.lastname: Gulotta
mesh_terms: D018784:Abdominal Abscess / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology* / Q000601:surgery; D000328:Adult; D017541:Aneurysm, False / Q000209:etiology; D060085:Coinfection / Q000188:drug therapy; D003424:Crohn Disease / Q000150:complications*; D004322:Drainage; D005208:Fasciitis / Q000209:etiology; D006801:Humans; D007077:Ileal Diseases / Q000000981:diagnostic imaging / Q000209:etiology*; D033183:Interdisciplinary Communication; D007416:Intestinal Perforation / Q000000981:diagnostic imaging / Q000209:etiology*; D007813:Laparotomy; D007866:Leg / Q000000981:diagnostic imaging; D008297:Male; D010538:Peritonitis / Q000188:drug therapy / Q000209:etiology / Q000382:microbiology; D012086:Reoperation; D012187:Retroperitoneal Space / Q000000981:diagnostic imaging; D018805:Sepsis / Q000188:drug therapy / Q000209:etiology; D014057:Tomography, X-Ray Computed