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Psoas abscess in Crohn's disease

L M Van Dongen, E J Lubbers

    The British Journal of Surgery
    |October 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Psoas abscesses complicating Crohn

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    Area of Science:

    • Gastroenterology and Surgery
    • Infectious Disease Complications

    Background:

    • Crohn's disease is a chronic inflammatory bowel condition.
    • Psoas abscesses are a rare but serious complication.
    • Surgical management of Crohn's disease carries risks.

    Purpose of the Study:

    • To evaluate the efficacy of surgical intervention for psoas abscesses in Crohn's disease patients.
    • To determine optimal treatment strategies for this complication.

    Main Methods:

    • Retrospective review of 161 surgically treated Crohn's disease patients.
    • Analysis of 7 patients who developed psoas abscesses.
    • Comparison of outcomes between drainage alone and bowel resection.

    Main Results:

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    • Psoas abscesses occurred in 7 of 161 patients.
    • Drainage alone was insufficient for clinical improvement.
    • Surgical resection of the affected bowel was necessary for all patients.
    • One patient died from pulmonary embolism; 3 required repeat drainage.

    Conclusions:

    • Surgical resection of the underlying bowel disease is crucial for managing psoas abscesses in Crohn's disease.
    • Drainage alone is often inadequate to control the condition.
    • Prompt surgical intervention improves patient outcomes.