Regional Enteritis

Patter, Ward N. Van; Bargen, J. Arnold; Dockerty, Malcolm B.; Feldman, William H.; Mayo, Charles W.; Waugh, John M.

doi:10.1016/s0016-5085(54)80024-2

Cited by 351 publications

(73 citation statements)

References 33 publications

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“…7,28,29 A large series of patients with psoas abscesses at Mayo Clinic demonstrated that only 2 (4.7%) of 43 cases were caused by colorectal carcinoma. 4 The relationship between Crohn's disease and psoas abscess was first described by Van Patter et al 30 of the Mayo Clinic, in 1954. A more recent survey of 67 patients with psoas abscesses at the same institution indicated that the majority of cases were caused by Crohn's disease and renal disease and occurred as postoperative complications.…”

Section: Discussionmentioning

confidence: 98%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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Although retroperitoneal or psoas abscess is an unusual clinical problem, the insidious and occult characteristics of this abscess sometimes cause diagnostic delays, resulting in considerably high morbidity and mortality. In particular, psoas abscess caused by perforated colon carcinoma is uncommon. We report a case of psoas abscess caused by a carcinoma of the cecum. A 72-year-old Japanese woman was admitted to our hospital, with pain in the right groin and buttock. The pain had appeared 6 months before admission, and the symptoms had then been relieved by oral antibiotics. On March 25, 1999, inflammatory signs in the right buttock indicated localized cellulitis, and incision and drainage was performed at a local hospital. The patient was referred to our hospital on the same day. On admission to our hospital, computed tomography (CT) scan revealed a thick right-sided colonic wall and enlargement of the right ileopsoas muscle. Barium enema and colonofiberscopy revealed an ulcerated tumor occupying the entire circumference of the cecum. A retroperitoneal abscess and fistula had been formed by the retroperitoneal perforation of cecum carcinoma: surgical resection was performed after remission of the local inflammatory signs. Operative findings indicated that the cancerous lesion and its surrounding tissues were firmly attached to the right iliopsoas and major psoas muscle, and en-bloc resection, including adjacent muscular tissue, was performed. The fact that carcinoma of the colon could be a cause of psoas abscess and cellulitis in the gluteal region should be considered when an unexplained psoas abscess is diagnosed.

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Section: Discussionmentioning

confidence: 98%

Psoas abscess and cellulitis of the right gluteal region resulting from carcinoma of the cecum

Kobayashi

Sakurai

Shoji

et al. 2001

Journal of Gastroenterology

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“…It has been reported in the literature [10] that patients who have one recurrence of Crohn's disease are likely to have an increased rate of recurrence after their second resection. Most of the studies that have reported this phenomenon have used crude recurrence rates and have only a small number of patients at risk for the second recurrence.…”

Section: Number Of Resectionsmentioning

confidence: 99%

Factors Determining Recurrence following Surgery for Crohn's Disease

Wolff

1998

World j. surg.

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Many factors have been examined in an attempt to define groups at higher risk for recurrence or recrudescence of Crohn's disease. Among these factors are age and onset of disease, gender, site of disease, number of resections, symptomatic status at the time of surgery, length of small bowel resection, fistulizing versus obstructive forms of disease, proximal margin length, microscopic margin histology, strictureplasty, and number of sites of disease, as well as the presence of colonic only disease, the presence of granulomas, blood transfusions, family history, and prophylactic treatment. To date, only proctocolectomy with Brooke ileostomy versus other procedures for colonic only disease, and prophylactic treatment have been shown with some degree of confidence to lead to a lower recurrence rate after surgery for Crohn's disease.

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“…Before the 1980s, diffuse jejunoileitis frequently resulted in death, with reported mortality rates as high as 50 percent. 2 Short-bowel syndrome secondary to massive or multiple bowel resections or chronic steroid use in an attempt to avoid surgery led to fatal complications, and patients typically died within 10 to 20 years of diagnosis. 1 The application of strictureplasty to patients with small-bowel Crohn's disease by Dr. Emanoel Lee in the late 1970s provided a means by which obstructing strictures could be relieved without loss of intestinal length.…”

Section: Discussionmentioning

confidence: 99%

“…Older studies of patients with diffuse Crohn's jejunoileitis reported mortality rates of 30 to 50 percent. 1,2 Strictureplasty has become a valuable option for the surgeon dealing with small-bowel Crohn's disease. Since its initial application in Crohn's disease by Lee and Papaioannou, 3 the safety and efficacy of the technique in general have been proved by several large studies that reported outcomes similar to those of resective surgery.…”

mentioning

confidence: 99%