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Related Experiment Videos

Intra-abdominal abscess in regional enteritis.

M B Ribeiro1, A J Greenstein, Y Yamazaki

  • 1Department of Surgery, Mount Sinai School of Medicine, City University of New York, New York.

Annals of Surgery
|January 11, 1991
PubMed
Summary

Intra-abdominal abscess (IAA) in Crohn's disease patients occurred in 21.2%, with intraperitoneal abscesses more common. Retroperitoneal abscesses showed a male predominance and no associated mortality.

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Area of Science:

  • Gastroenterology
  • Surgical Gastroenterology
  • Abdominal Surgery

Background:

  • Crohn's disease (CD) is a chronic inflammatory bowel disease.
  • Intra-abdominal abscess (IAA) is a significant complication of CD, particularly in cases confined to the small bowel.
  • Understanding the characteristics and outcomes of different IAA locations is crucial for patient management.

Purpose of the Study:

  • To analyze the incidence, characteristics, and outcomes of intra-abdominal abscesses (IAA) in patients with small bowel Crohn's disease.
  • To compare outcomes between intraperitoneal abscesses (IPA) and retroperitoneal abscesses (RPA).

Main Methods:

  • Retrospective review of 610 patients with small bowel Crohn's disease.
  • Analysis of 129 patients who developed intra-abdominal abscesses.

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  • Categorization of abscesses into intraperitoneal (IPA) and retroperitoneal (RPA) locations.
  • Evaluation of surgical interventions, reoperation rates, fistula development, and mortality.

    • Main Results:

    • Intra-abdominal abscess (IAA) developed in 21.2% of patients (129/610).
    • Intraperitoneal abscesses (IPA) occurred in 17.9% (109/610), while retroperitoneal abscesses (RPA) occurred in 3.3% (20/610).
    • Retroperitoneal abscesses (RPA) showed a significant male predominance (18:2 ratio) and had no associated mortality, unlike IPA which had a 3.7% mortality rate.
    • External fistula development was noted in 22% of IPA and 10% of RPA cases.

    Conclusions:

    • Intra-abdominal abscesses (IAA) are a common complication in small bowel Crohn's disease.
    • Retroperitoneal abscesses (RPA) present differently, with a male predilection and a better prognosis regarding mortality compared to intraperitoneal abscesses (IPA).
    • Management strategies and outcomes differ between IPA and RPA in Crohn's disease patients.