Psoas Abscess: a Rare Complication of Crohn’s Disease

Abstract

Psoas abscess is a rare complication of Crohn’s disease.

Methods and materials: We evaluated the incidence of psoas abscess on 312 patients with Crohn’s disease, seen at our institution between 1992-2001.

Results: We encountered three cases of psoas abscess (0.9%). One patient was managed with ileocolic resection and immediate anastomosis, while in two patients a percutaneous drainage was first performed and then, after 12 days of total parenteral nutrition, a resection of the diseased bowel with immediate reconstruction was carried out. Conclusions: A correction of the nutritional deficiencies is mandatory. Percutaneous computed-tomography guided drainage of the abscess with intestinal resection with immediate anastomosis, performed after a parenteral hyperalimentation, should be the method of choice in the management of such patients.

Key Words:

• Crohn’s disease
• regional ileitis
• psoas abscess
• bowel perforation

Additional information

Notes on contributors

M. Veroux

M. Veroux, M.D. Department of surgery Transplantation and Advanced Technologies university Hospital Via s. sofia, 78 95123 Catania, Italy Tel.: [phone] Fax: [phone] E-mail: [email protected]