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Surgery Today

, Volume 30, Issue 8, pp 759–763 | Cite as

Psoas abscess complicating Crohn’s disease: Report of a case

  • Makoto Ogihara
  • Tadahiko Masaki
  • Toshiaki Watanabe
  • Kenji Hatano
  • Keiji Matsuda
  • Naohisa Yahagi
  • Masao Ichinose
  • Atsushi Seichi
  • Tetsuichiro Muto
Case Reports

Abstract

We describe herein the case of a psoas abscess complicating Crohn’s disease, and present a review of the literature on this unusual disease entity. A 22-yearold Japanese man with a 5-year history of Crohn’s ileocolitis presented with right lower abdominal and hip pain, and a diagnosis of right psoas abscess was subsequently made by abdominal computed tomography (CT). Following the administration of antibiotics and CT-guided percutaneous drainage of the abscess, the patient’s symptoms temporarily improved; however, 2 weeks later, the abscess cavity was found to have extended around the periarticular tissue of the right hip joint. To prevent the development of septic arthritis of the hip joint, surgical drainage of the abscess cavity and ileocecal resection were immediately performed, after which the patient’s condition greatly improved. The resected specimen showed Crohn’s ileocolitis with an external fistula in the terminal ileum which was considered to have caused the psoas abscess. Since psoas abscess in Crohn’s disease can result in serious complications such as septic arthritis of the hip joint if left untreated, aggressive treatment should be initiated without delay.

Key Words

Psoas abscess Crohn’s disease Percutaneous drainage Septic arthritis 

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Copyright information

© Springer-Verlag 2000

Authors and Affiliations

  • Makoto Ogihara
    • 1
  • Tadahiko Masaki
    • 1
  • Toshiaki Watanabe
    • 1
  • Kenji Hatano
    • 1
  • Keiji Matsuda
    • 1
  • Naohisa Yahagi
    • 2
  • Masao Ichinose
    • 2
  • Atsushi Seichi
    • 3
  • Tetsuichiro Muto
    • 1
  1. 1.Department of SurgeryThe University of TokyoTokyoJapan
  2. 2.Department of Internal MedicineThe University of TokyoTokyoJapan
  3. 3.Department of OrthopedicsThe University of TokyoTokyoJapan

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