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Recurrent psoas abscess secondary to Crohn’s fistula disease

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A 33-year-old female was referred for right hip pain associated with sepsis. A computed tomography (CT) scan showed a right-sided psoas abscess (Fig. 1) which was debrided and drained. She… Click to show full abstract

A 33-year-old female was referred for right hip pain associated with sepsis. A computed tomography (CT) scan showed a right-sided psoas abscess (Fig. 1) which was debrided and drained. She presented two years later with a CT scan showing a similar right-sided psoas abscess, now associated with a fistula tract communicating with the ascending colon (Fig. 2). The abscess was drained and a colonoscopy performed revealing signs of Crohn’s disease. An elective right hemicolectomy was performed (Fig. 3) with an uncomplicated recovery.

Keywords: abscess; psoas abscess; abscess secondary; disease; fistula; recurrent psoas

Journal Title: Techniques in Coloproctology
Year Published: 2020

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