| 크론병에 동반된 장요근 농양 1예 |
| 김진희·장세경·안지용·차봉기·김대원·정승문·홍요한·김형준·도재혁·박실무·박성일* |
| 중앙대학교 의과대학 내과학교실, *외과학교실 |
| A Case of Psoas Muscle Abscess in Crohn's Disease |
| Jin Hee Kim, M.D., Sae Kyung Jang, M.D., Ji Yong Ahn, M.D., Bong Ki Cha, M.D., Dae Won Kim, M.D., Sung Moon Jung, M.D., Yo Han Hong, M.D., Hyung Jun Kim, M.D., Jae Hyuk Do, M.D., Sill Moo Park, M.D. and Sung Il Park, M.D.* |
| Department of Internal Medicine and *Surgery, Chungang University College of Medicine, Seoul, Korea |
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| Abstract |
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Psoas abscess, complicating Crohn's disease, is a rare condition. Typical symptoms and signs are fever, abdominal tenderness and limb pain. Our patient had fever and abdominal tenderness. The diagnosis is made by abdominopelvic CT scan. Medical therapy with antibiotics, surgical resection of the affected bowel segment with end to end anastomosis and surgical drainage of focus are treatment of choice. We have experienced one case of psoas abscess with Crohn's disease in 28-year-old male patient. He visited our hospital due to diarrhea and lower abdominal pain. The colonoscopy revealed active stage of Crohn's disease. Then he has taken methyl prednisolone and mesalazine. During the hospitalization, we detected anal fistula and psoas abscess on abdominal CT. He was managed with antibiotics and surgical drainage after colectomy. We present the case with brief review of the articles. (Korean J Gastrointest Endosc 2003;26:9498) |
| Key Words:
Psoas abscess, Crohn's disease, Colectomy with surgical drainage |
| 주요어:
크론병, 장요근 농양, 전 대장 적출술, 배농술 |
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