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Buttock abscess complicating Crohn's disease.

B P O'Malley1, T Minuk, M Castelli

  • 1Department of Diagnostic Radiology, Henderson General Hospital, Hamilton, Ontario.

Canadian Association of Radiologists Journal = Journal L'Association Canadienne Des Radiologistes
|February 1, 1989
PubMed
Summary
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This study details two cases of buttock abscesses stemming from Crohn's disease, where the infection spread through the sciatic foramen. Computed tomography is crucial for diagnosing these complex Crohn's disease complications and their anatomical spread.

Area of Science:

  • Gastroenterology
  • Radiology
  • Surgical Pathology

Background:

  • Crohn's disease is a chronic inflammatory bowel condition with potential for extraintestinal manifestations.
  • Abscess formation can occur as a complication of Crohn's disease, though buttock involvement is rare.

Observation:

  • Two patients presented with buttock abscesses.
  • These abscesses were direct extensions of underlying Crohn's disease.
  • The abscesses had infiltrated the gluteal soft tissues via the sciatic foramen.

Findings:

  • The anatomical pathway of abscess spread was identified as the sciatic foramen.
  • Cross-sectional imaging, specifically computed tomography (CT), was instrumental in visualizing the abscesses and their extent.
  • CT imaging clearly delineated the relationship between the Crohn's disease-related abscess and surrounding gluteal structures.

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Implications:

  • This case series highlights an unusual but significant complication of Crohn's disease.
  • Computed tomography is essential for accurate diagnosis and surgical planning in such cases.
  • Understanding the pathway of spread through the sciatic foramen aids in managing these complex perianal and gluteal infections in Crohn's patients.