Korean J Gastrointest Endosc.
2003 Feb;26(2):94-98.
A Case of Psoas Muscle Abscess in Crohn's Disease
- Affiliations
-
- 1Department of Internal Medicine, Chungang University College of Medicine, Seoul, Korea. mdskc@cau.ac.kr
- 2Department of Surgery, Chungang University College of Medicine, Seoul, Korea.
Abstract
- Psoas abscess, complicating Crohn's disease, is a rare condition. Typical symptoms and signs are fever, abdominal tenderness and limb pain. Our patient had fever and abdominal tenderness. The diagnosis is made by abdominopelvic CT scan. Medical therapy with antibiotics, surgical resection of the affected bowel segment with end to end anastomosis and surgical drainage of focus are treatment of choice. We have experienced one case of psoas abscess with Crohn's disease in 28-year-old male patient. He visited our hospital due to diarrhea and lower abdominal pain. The colonoscopy revealed active stage of Crohn's disease. Then he has taken methyl prednisolone and mesalazine. During the hospitalization, we detected anal fistula and psoas abscess on abdominal CT. He was managed with antibiotics and surgical drainage after colectomy. We present the case with brief review of the articles.
