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

Research output: Contribution to journalArticle

17 Citations (Scopus)

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-year-old 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.

Original languageEnglish
Pages (from-to)759-763
Number of pages5
JournalSurgery today
Volume30
Issue number8
DOIs
Publication statusPublished - 2000 Jan 1
Externally publishedYes

Keywords

  • Crohn's disease
  • Percutaneous drainage
  • Psoas abscess
  • Septic arthritis

ASJC Scopus subject areas

  • Surgery

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  • Cite this

    Ogihara, M., Masaki, T., Watanabe, T., Hatano, K., Matsuda, K., Yahagi, N., Ichinose, M., Seichi, A., & Muto, T. (2000). Psoas abscess complicating Crohn's disease: Report of a case. Surgery today, 30(8), 759-763. https://doi.org/10.1007/s005950070093