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J R Soc Med. 1984 January; 77(1): 33–34.
PMCID: PMC1439564

Diagnosis and management of psoas abscess in Crohn's disease.


Four patients with Crohn's disease complicated by psoas abscess are described. These patients did not have general or abdominal signs of sepsis but they all showed wasting of the right quadriceps femoris and hip flexion. It is important to examine the hip and thigh in patients with known Crohn's disease who are on medical treatment. Surgical treatment of a Crohn's psoas abscess should include resection of recurrent disease, fashioning of the anastomosis remote from the abscess cavity, and long-term (21 days) drainage of the abscess cavity to avoid the possibilities of faecal fistula or recurrent abscess.

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Selected References

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  • Burul CJ, Ritchie JK, Hawley PR, Todd IP. Psoas abscess: a complication of Crohn's disease. Br J Surg. 1980 May;67(5):355–356. [PubMed]
  • Greenstein AJ, Dreiling DA, Aufses AH., Jr Crohn's disease of the colon. V. Retroperitoneal lumbocrural abscess in Crohn's disease involving the colon. Am J Gastroenterol. 1975 Oct;64(4):306–318. [PubMed]
  • Hardcastle JD. Acute non-tuberculous psoas abscess. Report of 10 cases and review of the literature. Br J Surg. 1970 Feb;57(2):103–106. [PubMed]
  • Kyle J. Psoas abscess in Crohn's disease. Gastroenterology. 1971 Aug;61(2):149–155. [PubMed]
  • Ramus NI, Shorey BA. Crohn's disease and psoas abscess. Br Med J. 1975 Sep 6;3(5983):574–575. [PMC free article] [PubMed]
  • VAN PATTER WN, BARGEN JA, DOCKERTY MB, FELDMAN WH, MAYO CW, WAUGH JM. Regional enteritis. Gastroenterology. 1954 Mar;26(3):347–450. [PubMed]
  • Van Dongen LM, Lubbers EJ. Psoas abscess in Crohn's disease. Br J Surg. 1982 Oct;69(10):589–590. [PubMed]

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