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KMID : 0988920070050020188
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Intestinal Research
2007 Volume.5 No. 2 p.188 ~ p.191
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A Case of Crohn’s Disease with Psoas Abscess and Enterocutaneous Fistula
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Jung Hae-Sun
Shim Ki-Nam
Ryu Kum-Hei
Jung Sung-Ae
Yoo Kwon
Min Seog-Ki
Baik Su-Jung
Kang Min-Jung
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Abstract
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Crohn’s disease is a chronic, transmural and inflammatory disease of the gastrointestinal tract. Intraabdominal abscesses and fistulas are common complications in Crohn’s disease. However, the presence of a psoas abscess and enterocutaneous fistula in Crohn’s disease is very rare. The incidence of a psoas abscess is 0.4-4.3% and the incidence of an enterocutaneous fistula is 15-25%. Moreover, as a psoas abscess presents as a flexion contracture of the sacroiliac joint, it is apt to be misdiagnosed as arthritis, one of the common extraintestinal manifestations of Crohn’s disease. We describe here a case of a 26-year-old female who presented with pain and flexion contracture of the right sacroiliac joint. The patient was diagnosed with a psoas abscess and an enterocutaneous fistula as complications of Crohn’s disease.
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KEYWORD
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Crohn Disease, Psoas Abscess, Intestinal Fistula
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