Image Diagnosis: Iliopsoas Abscess from Crohn Disease

Psoas Abscess in a Snowboarder: A Musculoskeletal Manifestation of Crohn's Disease

“…Point-of-care ultrasonography has been shown to be ineffective as a diagnostic method. Instead, contrast-enhanced CT scans of the abdomen and pelvis are the modality of choice and should be ordered when there is high clinical suspicion of a psoas abscess (7)(8)(9).…”

Psoas Abscess Presented as Right Hip Pain in a Young Adult With Crohn’s Disease

“…Fever, flank pain, and hip pain often with antalgic gait are the classic symptoms, however, only 30% of the patients with poas abscess initially present with this triad [ 2 , 4 , 6 , 7 ]. As we see in this case, referred hip pain in patients with long-standing Cohn disease should always raise the suspicion for ongoing psoas abscess formation [ 8 - 10 ].…”

“…Although bedside ultrasound is a relatively inexpensive and safe approach, the success rates are relatively low for the detection of psoas abscess [ 13 ]. The preferred test is CT abdomen and pelvis with contrast [ 8 , 13 , 14 ]. In this case, the CT abdomen and pelvis with and without oral and IV contrast reveal an ileuopsoas fistula and psoas abscess.…”

Abscesses in patients with Crohn’s disease—the opinion of the radiologist

“…1). Това съвпада и с данните в литературата -илиопсоасни абсцеси се срещат при от 0,4% до 4,3% от всички пациенти с болест на Крон (Abraham, Liu, & Vinson, 2017).…”