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Case report: magnetic resonance imaging in the diagnosis of epidural abscess complicating perirectal fistulizing Crohn's disease. Inflamm Bowel Dis 2003 Mar;9(2):122-4

Date

05/29/2003

Pubmed ID

12769446

DOI

10.1097/00054725-200303000-00006

Scopus ID

2-s2.0-0347296113 (requires institutional sign-in at Scopus site)   17 Citations

Abstract

Epidural abscess is a rare complication of fistulizing Crohn's disease (CD), potentially appearing as neurologic symptoms or back and leg pain. We report a case of a large epidural abscess resulting from uncontrolled fistulizing CD, which was rapidly defined using gadolinium-enhanced magnetic resonance imaging (MRI). Whenever caudal neurologic symptoms, back pain, and fever arise in CD patients, diagnostic MRI of the pelvis in addition to conventional computerized tomography should be considered to identify perirectal fistulization to the spine.

Author List

Heidemann J, Spinelli KS, Otterson MF, Binion DG

Author

Mary F. Otterson MD Professor in the Surgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Adult
Anti-Bacterial Agents
Bacteremia
Crohn Disease
Drug Therapy, Combination
Epidural Abscess
Follow-Up Studies
Humans
Magnetic Resonance Imaging
Male
Rectal Fistula
Risk Assessment
Serratia Infections
Serratia marcescens
Severity of Illness Index
Spinal Cord Diseases
Treatment Outcome