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Psoas abscess complicating Crohn's disease.

M H Shokouh-Amiri1, C Palnaes Hansen, F Moesgaard

  • 1Department of Surgical Gastroenterology C, Rigshospitalet, University of Copenhagen, Denmark.

Acta Chirurgica Scandinavica
|August 1, 1989
PubMed
Summary

Psoas abscesses complicating Crohn's disease present with weight loss, pain, fever, and palpable masses. Treatment involves surgical drainage and bowel resection, or percutaneous drainage followed by resection.

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Area of Science:

  • Gastroenterology
  • Abdominal Surgery
  • Medical Imaging

Background:

  • Crohn's disease is a chronic inflammatory bowel disease.
  • Psoas abscess is a potential complication of Crohn's disease.

Purpose of the Study:

  • To present cases of psoas abscess complicating Crohn's disease.
  • To describe clinical manifestations, diagnostic methods, and treatment strategies.

Main Methods:

  • Case series presentation.
  • Computed tomography (CT) scan for diagnosis.
  • Surgical or percutaneous drainage and bowel resection for treatment.

Main Results:

  • Common symptoms include weight loss, pain, fever, and flank/iliac fossa mass.
  • CT scan effectively confirmed the diagnosis.
  • Successful treatment achieved through surgical or percutaneous drainage combined with bowel resection.

Conclusions:

  • Psoas abscess is a significant complication of Crohn's disease.
  • Prompt diagnosis via CT scan is crucial.
  • A combination of drainage and bowel resection is the recommended treatment approach.

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