大腿骨頚部周囲におよぶ腸腰筋膿ようを合併したＣｒｏｈｎ病の１例

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  • Psoas Abscess Expanding into Iliofemoral Space Complicating Crohn's Disease. A Report of a Case.

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In a 50-year-old female with Crohn' s disease with right hip joint pain and high fever, a huge right psoas abscess near the right hip joint was diagnosed by abdominal computed tomography. Following the administration of total parenteral nutrition and antibiotics, the symptoms did not improve. Then ultrasonographic-guided percutaneous drainage of the abscess was performed. Though the Real fistula was left for over three months after percutaneous drainage, ileocecal resection and surgical drainage were carried out. The re-sected specimen showed external fistula in the 24 cm-oral side ileum from Bauhin valve and longitudinal ulceration. Magnetic resonance imaging showed no recurrence of the abscess three months after surgical treatment. In Japan, 26 cases of psoas abscess complicating Crohn' s disease have been reported including this case. This complication will be seen more often because Crohn' s disease appears to be increasing in incidence. A case of large psoas abscess complicating Crohn' s disease was reported in which surgical treatment after percutaneous drainage was very effective.

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