A CASE OF CROHN'S DISEASE COMPLICATED BY PSOAS ABSCESS

• Published in: Nihon Rinsho Geka Gakkai Zasshi (Journal of Japan Surgical Association) Vol. 61; no. 5; pp. 1228 - 1232
• Main Authors: KAMADA, Kiyoshi, KANAIZUMI, Toshifumi, UENO, Masatoshi, YASUKAWA, Juro, YAGI, Masami, NAKANO, Hiroshige
• Format: Journal Article
• Language: English
• Published: Japan Surgical Association 2000
• ISSN: 1345-2843; 1882-5133
• DOI: 10.3919/jjsa.61.1228

A 26-year-old man with a 5-year history of Crohn's disease was admitted to the hospital because of diarrhea and abdominal pain. After the first 7 days of treatment by antibiotics, bowel rest and hyperalimentation, he was administered steroid. However, he still complained of left groin pain and left frunk pain with rebound tenderness on day 35 after admission, and a left psoas absess secondary to Crohn's disease was confermed by abdominal CT scan. At laparotomy, the entire large intestine became friable, penetrated to the left Swiss muscle at the descending colon to form a fistula, and another fistula was present between the transverse colon and stomach. So, a partial resection of the descendign colon with drainage as well as a partial resection of the transverse colon including the fistula and a partial gastrectomy were performed simultaneously. After the operation, leakage of the anastomosis occurred twice, forcing the patient to have an ileocolostomy.