| A Case of Crohn’s Disease with Psoas Abscess and Enterocutaneous Fistula |
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Hae Sun Jung, Ki-Nam Shim, Min-Jung Kang, Su Jung Baik, Kum Hei Ryu, Sung-Ae Jung, Kwon Yoo, Seog Ki Min |
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Departments of Internal Medicine and Surgery, Ewha Medical Research Institute,Ewha Womans University School of Medicine, Seoul, Korea
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| 크론병에 동반된 장요근 농양과 장피부 누공 1예 |
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정해선, 심기남, 강민정, 백수정, 유금혜, 정성애, 유권, 민석기 |
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이화여자대학교 의과대학 내과학교실, 외과학교실 |
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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. (Intest Res 2007;5:188-191) |
| Key Words:
Crohn Disease, Psoas Abscess, Intestinal Fistula |
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