Crohn's disease and psoas abscess.

Ramus, N I; Shorey, B. A.

doi:10.1136/bmj.3.5983.574-a

Cited by 19 publications

(4 citation statements)

References 3 publications

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“…The most common source is from the kidney or renal tract 2. Other causes include perforation secondary to neoplastic disease or diverticulitis, retrocaecal appendicitis, pancreatitis, biliary tract disease, peptic ulcer disease, inflammatory bowel disease and osteomyelitis of vertebral bodies 3 4. A retrospective review of 50 cases of retroperitoneal abscesses by Crepps et al 5 revealed that the majority of patients had immunosuppressive conditions, such as diabetes, malignancy and chronic renal failure.…”

Section: Discussionmentioning

confidence: 99%

Retroperitoneal abscess: an extra-abdominal manifestation

Mallia¹,

Ashwood

Arealis

et al. 2015

BMJ Case Reports

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Retroperitoneal abscesses are unusual occurrences with occult and insidious presentations. There is often a lack of abdominal signs, leading to delays in drainage and high mortality rates. We report a case of thigh emphysema in an 88-year-old patient with diabetes. Prior to admission the patient reported a vague 4-week history of left thigh pain and an inability to fully weight bear. She presented to our emergency department with sepsis and acute kidney impairment. An X-ray of her left femur revealed widespread gas between muscular planes. A retroperitoneal abscess involving the left renal fossa, psoas, iliacus and upper thigh muscles was revealed on an urgent CT scan. The patient was transferred to intensive care unit (ICU) and underwent an emergency drainage. Despite ICU the patient died 2 days after admission.

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Section: Discussionmentioning

confidence: 99%

Retroperitoneal abscess: an extra-abdominal manifestation

Mallia¹,

Ashwood

Arealis

et al. 2015

BMJ Case Reports

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“…Our case was primary psoas abscess, which extends to the adjacent retroperitoneum and buttock through the abdominal wall. The susceptibility of the psoas muscle as primary type is attributed to its rich blood supply and proximity to overlying retroperitoneal lymphatic channels [ 25 , 26 ].…”

Section: Discussionmentioning

confidence: 99%

“…Fungal infection also should be excluded [ 4 , 23 , 28 ]. In addition to the origin of infection, appendicitis, pancreatitis, pyelonephritis, and Crohn’s disease occasionally cause psoas abscess [ 25 , 27 ]. The pathogenic organism could not be identified in our case.…”

Section: Discussionmentioning

confidence: 99%

A case of primary psoas abscess presenting as buttock abscess

Yoo

Kim

Song

et al. 2009

J Orthopaed Traumatol

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Buttock abscess is a rare clinical manifestation from unusual extrapelvic extension of psoas abscess. A 48-year-old woman presented with painful swelling of the buttock with a sense of local heat. Magnetic resonance imaging revealed a large subfascial abscess over the glutei muscles and was traced into the intraabdominal cavity over the iliac wing to the psoas muscle. Both the psoas abscess and the buttock abscess were evacuated via separate approaches. Empirical antibiotic therapy was delivered for 3 weeks. After 6 months, no evidence of recurrence was found. Psoas abscess could be included in the differential diagnosis of buttock abscess.

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“…Before drainage, radiological examination of the chest and thoracolumbar spine is indicated. More recently, psoas abscess secondary to Crohn's disease has been reported (Ramus and Shorey, 1975).…”

Section: Psoas Abscessmentioning

confidence: 99%