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Psoas abscess: Changing patterns of diagnosis and etiology

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Diseases of the Colon & Rectum

Abstract

From 1976 to 1984, 43 patients with psoas abscess were seen at the Mayo Clinic. Intestinal disease, including Crohn's disease, diverticulitis, and carcinoma, was the most frequent cause (14 patients). Eleven patients had osteomyelitis, five had postoperative complications, four had a foreign-body reaction, and three had a primary staphylococcal abscess. Two patients each had extension of a primary pancreatic and perinephric abscess. One patient had tuberculosis of the spine, and in the remaining patient, an exact cause was not determined. Definied treatment of psoas abscess includes adequate debridement, drainage of the abscess cavity, and resection of involved bowel.

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References

  1. Van Patter WN, Bargen JA, Dockerty MB, Feldman WH, Mayo CW, Waugh JM. Regional enteritis. Gastroenterology 1954;26:347–450.

    Google Scholar 

  2. Kyle J. Psoas abscess in Crohn's disease. Gastroenterology 1971;61:149–55.

    PubMed  CAS  Google Scholar 

  3. Burul CJ, Ritchie JK, Hawley PR, Todd IP. Psoas abscess: a complication of Crohn's disease. Br J Surg 1980;67:355–6.

    PubMed  CAS  Google Scholar 

  4. Durning P, Schofield PF. Diagnosis and management of psoas abscess in Crohn's disease. J R Soc Med 1984;77:33–4.

    PubMed  CAS  Google Scholar 

  5. Goligher JC. Surgery of the anus, rectum and colon, 5th ed. London. Baillière Tindall, 1984;971–1017.

    Google Scholar 

  6. Gray RR, St Louis EL, Grosman H, Newman H. Ilio-psoas abscess in Crohn's disease. J Can Assoc Radiol 1983;34:36–8.

    PubMed  CAS  Google Scholar 

  7. Greenstein AJ, Dreiling DA, Aufses AH Jr. Crohn's disease of the colon: V. Retroperitoneal lumbocrural abscess in Crohn's disease involving the colon. Am J Gastroenterol 1975;64:306–18.

    PubMed  CAS  Google Scholar 

  8. Kavanagh TG, Griffiths NJ, Todd I. Psoas abscess and Crohn's disease. J R Soc Med 1979;72:612–3.

    PubMed  CAS  Google Scholar 

  9. Keighley MRB, Eastwood D, Ambrose NS, Allan RN, Burdon DW. Incidence and microbiology of abdominal and pelvic abscess in Crohn's disease. Gastroenterology 1982;83:1271–5.

    PubMed  CAS  Google Scholar 

  10. Kerber GW, Greenberg M, Rubin JM. Computed tomography evaluation of local and extraintestinal complications of Crohn's disease. Gastrointest Radiol 1984;9:143–8.

    Article  PubMed  CAS  Google Scholar 

  11. Lawrence LR, Ruoff M. The radiology corner: psoas abscess in granulomatous ileocolitis. Am J Gastroenterol 1972;58:537–42.

    PubMed  CAS  Google Scholar 

  12. Lennard TW, Farndon JR. Psoas abscess in Crohn's disease (letter to the editor). Br J Surg 1983;70:188.

    PubMed  CAS  Google Scholar 

  13. Ramus NI, Shorey BA. Crohn's disease and psoas abscess. Br Med J 1975;3:574–5.

    Article  PubMed  CAS  Google Scholar 

  14. Van Dongen LM, Lubbers EC. Psoas abscess in Crohn's disease. Br J Surg 1982;69:589–90.

    PubMed  Google Scholar 

  15. Hardcastle JD. Acute non-tuberculous psoas abscess: report of 10 cases and review of the literature. Br J Surg 1970;57:103–6.

    PubMed  CAS  Google Scholar 

  16. McVay CB. Surgical anatomy, 6th ed. Vol 1. Philadelphia: WB Saunders Company, 1984:734–5.

    Google Scholar 

  17. Neuhof H, Arnheim EE. Acute retroperitoneal abscess and phlegmon: a study of sixty-five cases. Ann Surg 1944;119:741–58.

    Article  PubMed  CAS  Google Scholar 

  18. Altemeier WA, Alexander JW. Retroperitoneal abscess. Arch Surg 1961;83:612–24.

    Google Scholar 

  19. Jones JH, Lennard-Jones JE. Corticosteroids and corticotrophin in the treatment of Crohn's disease. Gut 1966;7:181–7.

    PubMed  CAS  Google Scholar 

  20. London D, Fitton JM. Acute septic arthritis complicating Crohn's disease. Br J Surg 1970;57:536–7.

    PubMed  CAS  Google Scholar 

  21. Enker WE, Block GE. Occult obstructive uropathy complicating Crohn's disease. Arch Surg 1970;101:319–26.

    PubMed  CAS  Google Scholar 

  22. Higgens C, Allan RN, Keighley MRB, Arabi Y, Alexander-Williams J. Sepsis following operation for inflammatory intestinal disease. Dis Colon Rectum 1980;23:102–5.

    PubMed  CAS  Google Scholar 

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Leu, SY., Leonard, M.B., Beart, R.W. et al. Psoas abscess: Changing patterns of diagnosis and etiology. Dis Colon Rectum 29, 694–698 (1986). https://doi.org/10.1007/BF02555310

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