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Case Report

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Psoas abscess as the first manifestation of Crohn’s disease – case report

  • HARRY NIKOLIĆ1
  • ANA BOSAK VERŠIĆ1
  • IVICA ĆEPIĆ2
  • DAMIR HASANDIĆ1
  • SUZANA SRŠEN MEDANČIĆ1
  • DAMIR MILETIC3
  • TOMISLAV TADIN4
  • MLADEN PERŠIĆ5

1Pediatric Surgery Department, University Hospital Rijeka, Croatia

2 General Surgery Department, University Hospital Rijeka, Croatia

3 Department of Radiology, University Hospital Rijeka, Croatia

4 Ultrasound Diagnostic Service, Health Centre Rijeka, Croatia

5 Pediatrics Department, University Hospital Rijeka, Croatia

DOI: 10.22514/SV142.112018.13 Vol.14,Issue 2,November 2018 pp.78-79

Published: 02 November 2018

*Corresponding Author(s): TOMISLAV TADIN E-mail: medicina_ri@inet.hr

Abstract

A case of 16-year-old female with second-ary psoas abscess as the complication of the Crohn’s disease was analysed. Her pre-hos-pital, long lasting, non-specific symptoms led to ultrasound (US) and radiologic im-aging confirming the diagnosis. The anti-biotic treatment was insufficient and wors-ening of the patient’s condition required surgical treatment including descendent colectomy, abscess drainage and negative pressure wound therapy (NPWT). In spite of numerous complications the condition of the child gradually improved and she was discharged from the hospital on the 71st postoperative day. Two years after the colectomy, the occlusion of her colostomy was performed.

Keywords

child, Crohn’s disease, psoas ab-scess

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HARRY NIKOLIĆ,ANA BOSAK VERŠIĆ,IVICA ĆEPIĆ,DAMIR HASANDIĆ,SUZANA SRŠEN MEDANČIĆ, DAMIR MILETIC,TOMISLAV TADIN,MLADEN PERŠIĆ. Psoas abscess as the first manifestation of Crohn’s disease – case report. Signa Vitae. 2018. 14(2);78-79.

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