Presacral Abscess with Bilateral Sciatica in a Patient with Crohn's Disease
Intestinal Research
; : 196-200, 2012.
Article
in Ko
| WPRIM
| ID: wpr-154700
Responsible library:
WPRO
ABSTRACT
Crohn's disease can cause intestinal strictures, perforations, fistulas, or abscesses. Although fistulas and abscesses are common complications of Crohn's disease, a presacral abscess with neuromuscular complications is very unusual. A delayed diagnosis and treatment may increase morbidity. The diagnosis is frequently delayed, because the clinical features of presacral abscess are variable and nonspecific. We experienced a case of a presacral abscess with bilateral sciatica in a 25-year-old male patient. He was diagnosed with Crohn's disease of the terminal ileum 2 months previously and has been managed with mesalazine. He visited our hospital due to pain in the buttocks and severe neuralgia in both thighs. We confirmed enteric fistulas, resulting in a presacral abscess, which extended symmetrically through both sciatic notches and the gluteus medius muscles. He was managed with antibiotics after a small bowel segmentectomy, right hemicolectomy, fistulectomy, and surgical drainage. The bilateral radicular pain resolved completely within 2 weeks of surgery. The patient has remained in remission and asymptomatic 1 year after surgery.
Key words
Full text:
1
Index:
WPRIM
Main subject:
Sciatica
/
Thigh
/
Buttocks
/
Mastectomy, Segmental
/
Crohn Disease
/
Drainage
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Constriction, Pathologic
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Mesalamine
/
Abscess
/
Delayed Diagnosis
Type of study:
Diagnostic_studies
Limits:
Adult
/
Humans
/
Male
Language:
Ko
Journal:
Intestinal Research
Year:
2012
Type:
Article