Psoas Abscess with Hip Contracture in a Patient with Crohn's Disease / 대한소화기학회지
The Korean Journal of Gastroenterology
;
: 188-191, 2008.
Article
in Korean
| WPRIM
| ID: wpr-28351
ABSTRACT
A psoas abscess (PA) is a rare clinical entity but is potentially serious condition which presents diagnostic and therapeutic challenges. The diagnosis is frequently delayed due to its variable and nonspecific features and occult clinical course. The delay in diagnosis and treatment of PA is the major poor prognostic factor. We describe herein a case of the sterile psoas abscess complicating Cronh's disease which presented as hip flexion contracture. A 29-year-old man, at remission stage of CD involving ileocolic segment, was admitted due to pain from hip contracture. He had no bloody diarrhea and no abdominal pain. PA was confirmed by abdominal ultrasound. PA with hip contracture was completely treated with surgical excision, irrigation, drainage, and antibiotics. PA was sterile and there was no evidence of a fistulous communication from the bowel. Once suspected, aggressive diagnostic work up and definitive operative intervention is needed.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Crohn Disease
/
Tomography, X-Ray Computed
/
Drainage
/
Psoas Abscess
/
Diagnosis, Differential
/
Hip Contracture
Type of study:
Diagnostic study
/
Prognostic study
Limits:
Adult
/
Humans
/
Male
Language:
Korean
Journal:
The Korean Journal of Gastroenterology
Year:
2008
Type:
Article
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