Presacral Abscess with Bilateral Sciatica in a Patient with Crohn's Disease
Intestinal Research
;
: 196-200, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-154700
ABSTRACT
Crohn's disease can cause intestinal strictures, perforations, fistulas, or abscesses. Although fistulas and abscesses are common complications of Crohn's disease, a presacral abscess with neuromuscular complications is very unusual. A delayed diagnosis and treatment may increase morbidity. The diagnosis is frequently delayed, because the clinical features of presacral abscess are variable and nonspecific. We experienced a case of a presacral abscess with bilateral sciatica in a 25-year-old male patient. He was diagnosed with Crohn's disease of the terminal ileum 2 months previously and has been managed with mesalazine. He visited our hospital due to pain in the buttocks and severe neuralgia in both thighs. We confirmed enteric fistulas, resulting in a presacral abscess, which extended symmetrically through both sciatic notches and the gluteus medius muscles. He was managed with antibiotics after a small bowel segmentectomy, right hemicolectomy, fistulectomy, and surgical drainage. The bilateral radicular pain resolved completely within 2 weeks of surgery. The patient has remained in remission and asymptomatic 1 year after surgery.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Ciática
/
Muslo
/
Nalgas
/
Mastectomía Segmentaria
/
Enfermedad de Crohn
/
Drenaje
/
Constricción Patológica
/
Mesalamina
/
Absceso
/
Diagnóstico Tardío
Tipo de estudio:
Estudio diagnóstico
Límite:
Adulto
/
Humanos
/
Masculino
Idioma:
Coreano
Revista:
Intestinal Research
Año:
2012
Tipo del documento:
Artículo
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