Percutaneous drainage of iliopsoas abscess in Crohn's disease

Iliopsoas abscess is a rare but serious complication of Crohn's disease. Initial treatment by surgical drainage of the abscess alone or in combination with bowel resection has been recommended. Percutaneous catheter abscess drainage (PAD) has not been described. We report 3 patients with this u...

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Bibliographic Details
Published inGastrointestinal radiology Vol. 11; no. 3; p. 289
Main Authors Millward, S F, Ramsewak, W, Fitzsimons, P, Frost, R, Tam, P, Toi, A
Format Journal Article
LanguageEnglish
Published United States 01.01.1986
Subjects
Abscess - diagnostic imaging
Abscess - therapy
Adult
Crohn Disease - complications
Drainage - methods
Female
Hip
Humans
Male
Middle Aged
Muscular Diseases - diagnostic imaging
Muscular Diseases - therapy
Radiography
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Summary:Iliopsoas abscess is a rare but serious complication of Crohn's disease. Initial treatment by surgical drainage of the abscess alone or in combination with bowel resection has been recommended. Percutaneous catheter abscess drainage (PAD) has not been described. We report 3 patients with this uncommon complication of Crohn's disease in whom PAD was attempted. It was successful in 2 cases but failed in 1, who went on to have the abscess drained surgically. We suggest that PAD can be a useful initial treatment to improve the patient's condition prior to definitive surgical resection.
ISSN:0364-2356
DOI:10.1007/BF02035093