Sterile epidural and bilateral psoas abscesses in a patient with Crohn's disease.
Sterile epidural and bilateral psoas abscesses in a patient with Crohn's disease.
复制标题
克罗恩病患者的无菌硬膜外和双侧腰肌脓肿。
DOI：
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发表时间：
1994
期刊：
影响因子：
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通讯作者：
P. Nikoomanesh
中科院分区：
文献类型：
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作者：
R. D. Lamport;Lawrence J. Cheskin;S. Moscatello;P. Nikoomanesh
克罗恩病主要影响远端胃肠道，但它是一种几乎可以累及任何器官的全身性疾病。腰肌脓肿合并克罗恩病是罕见的，通常起源于与粘附肠的瘘性沟通。脊髓硬膜外脓肿，一种极为罕见的并发症，也出现从另一个器官与克罗恩病的瘘管。以前的报告表明，这两个区域的脓肿通常含有细菌，通常是混合菌群，与病变肠道的种子一致。本报告报告了第一例克罗恩病并发双侧无菌腰肌脓肿和共存的无菌硬膜外脓肿，没有肠瘘的证据。我们报告这个病例是因为腰肌和硬膜外脓肿可以没有典型的体征和症状。一旦怀疑，积极的诊断检查和明确的手术干预是指。未能及时诊断和治疗这些脓肿可能导致相当大的发病率。
Crohn's disease primarily affects the distal gastrointestinal tract, yet it is a systemic disease that can involve nearly any organ. A psoas abscess complicating Crohn's disease is uncommon and usually originates from a fistulous communication with an adherent bowel. Spinal epidural abscess, an extremely rare complication, also appears to arise by fistulization from another organ involved with Crohn's disease. Previous reports indicate that abscesses in these two areas usually contain bacterial organisms, often mixed flora, consistent with seeding from a diseased bowel. This report represents the first case of Crohn's disease complicated by both bilateral sterile psoas abscesses and a coexistent sterile epidural abscess without evidence of a fistulous communication from the bowel. We report this case because psoas and epidural abscesses can present without typical signs and symptoms. Once suspected, aggressive diagnostic workup and definitive operative intervention is indicated. Failure to promptly diagnose and treat these abscesses may result in considerable morbidity.