크론병 환자에서 고관절 구축을 동반한 요근 농양Psoas Abscess with Hip Contracture in a Patient with Crohn’s Disease
- Other Titles
- Psoas Abscess with Hip Contracture in a Patient with Crohn’s Disease
- Authors
- 박혜정; 전용철; 이경아; 변태준; 김태엽; 은창수; 한동수; 손주현
- Issue Date
- Sep-2008
- Publisher
- 대한소화기학회
- Keywords
- Crohn’s disease; Hip contracture; Psoas abscess
- Citation
- 대한소화기학회지, v.52, no.3, pp.188 - 191
- Indexed
- SCOPUS
KCI
- Journal Title
- 대한소화기학회지
- Volume
- 52
- Number
- 3
- Start Page
- 188
- End Page
- 191
- URI
- https://scholarworks.bwise.kr/hanyang/handle/2021.sw.hanyang/177877
- ISSN
- 1598-9992
- Abstract
- A psoas abscess (PA) is a rare clinical entity but is potentially serious condition which presents diagnostic and therapeutic challenges. The diagnosis is frequently delayed due to its variable and nonspecific features and occult clinical course. The delay in diagnosis and treatment of PA is the major poor prognostic factor. We describe herein a case of the sterile psoas abscess complicating Cronh’s disease which presented as hip flexion contracture. A 29-year-old man, at remission stage of CD involving ileocolic segment, was admitted due to pain from hip contracture. He had no bloody diarrhea and no abdominal pain. PA was confirmed by abdominal ultrasound. PA with hip contracture was completely treated with surgical excision, irrigation, drainage, and antibiotics. PA was sterile and there was no evidence of a fistulous communication from the bowel. Once suspected, aggressive diagnostic work up and definitive operative intervention is needed.
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