Large retroperitoneal abscess extended to the inferior right limb secondary to a perforated ileal Crohn's disease: the importance of the multidisciplinary approach

Mascolino, A

doi:10.11138/gchir/2016.37.1.037

Cited by 11 publications

(7 citation statements)

References 29 publications

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“…With the aim to prevent these complications and its fearful sequelae, the use of hemostatic patches, that could be helpful in other digestive anastomoses, has not been validated (12)(13)(14)(15) Complications such as intestinal ischemia or other abdominal complications have not been described (16)(17)(18)(19). The laparoscopic approach, although possible, is not validated yet (20,21).…”

Section: Discussionmentioning

confidence: 99%

Neuroendocrine tumor of the common bile duct: case report

Raspanti

Falco

Silvestri

et al. 2016

Gchir

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Section: Discussionmentioning

confidence: 99%

Neuroendocrine tumor of the common bile duct: case report

Raspanti

Falco

Silvestri

et al. 2016

Gchir

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“…Although this complication is less common during the natural course of the disease, it may manifest as the first complication in 25% of patients [ 11 ]. If this is not diagnosed and treated in time, it can easily develop into generalised peritonitis [ 12 ]. If this occurs, emergent surgery is often needed to conserve as much of the intestine as possible.…”

Section: Introductionmentioning

confidence: 99%

Clinical Features of Intra-Abdominal Abscess and Intestinal Free-Wall Perforation in Korean Patients with Crohn’s Disease: Results from the CONNECT Study

Jeong

Choi

Kim

et al. 2020

JCM

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Background: In Crohn’s disease (CD), intra-abdominal abscess (IA) and intestinal free-wall perforation (IP) have a common mechanism of transmural inflammation; however, their manifestation is different. Objective: This study aimed to investigate differences in the clinical features between IA and IP in Korean patients with Crohn’s disease. Design: A retrospective cohort study. Setting: Thirty university hospitals and two local hospitals in Korea. Patients: Patients who were diagnosed with CD between July 1982 and December 2008 were enrolled. Main Outcome Measures: Clinical characteristics of IA and IP. Results: Among 1286 patients with CD, 147 (11.4%) had IA and 83 (6.5%) had IP. IA patients were younger than those of IP (24.2 ± 8.6 vs. 30.4 ± 11.1 years, p = 0.001). Location and behavior were significantly different between IA and IP (p = 0.035 and 0.021). In multivariate analyses, perianal fistula was not associated with increased risk of IA and IP, while intestinal stricture was associated with increased risk of IA (OR: 2.72, p < 0.0001) and IP (OR: 2.76, p < 0.0001). In subgroup analyses, 55 (36.5%) IA patients were diagnosed at the diagnosis of CD, and 92 (63.5%) during follow-up of CD, while 47 (56.6%) IP patients were diagnosed at the diagnosis of CD, and 36 (43.3%) during follow-up of CD. Conclusions: There are several differences in the clinical features of IA and IP in Korean patients with CD. The development mechanism is considered as identical, but further investigation should be needed for clinical implication.

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“…2,9 TOA can also be associated with abscesses retroperitoneal in pelvis, gluteal area and thigh. 11,12 As they are uncommon, they may be overlooked during radiologic examination and surgery worsening the patient's clinical outcome. Furthermore, these abscesses could progress to NF of the thigh subsequently.…”

Section: Discussionmentioning

confidence: 99%