Crohn's Disease Complicated with Intra-Abdominal Abscess: Report of a Case

克隆氏症併發腹腔內膿瘍：一病例報告

翁碩駿(Shuo-Chun Weng) ； 吳俊穎(Chun-Ying Wu)

《臺灣消化醫學雜誌》 25卷2期 (2008/06) Pp. 210-214

https://doi.org/10.6557/GJT.200806_25(2).0009

摘要

本例是一位22歲男性克隆氏症下腹部疼痛、水瀉、間斷性發燒及畏寒已一星期而住院，並沒有噁心、嘔吐或血便之相關症狀。腹部電腦斷層攝影顯示在殘留的乙狀結腸處有輕微腸壁增厚，且有一8×5公分的骨盆腔膿瘍，經表皮穿刺引流和抗生素治療16天後順利出院，且出院後症狀持續改善。此案例，我們說明了克隆氏症併發腹腔內膿瘍，經表皮穿刺引流是一安全且有效的方法。

關鍵字

克隆氏症 ； 膿瘍 ； 引流

並列摘要

A 22-year-old man with Crohn's disease was admitted to our hospital after experiencing lower abdominal pain, watery diarrhea, intermittent fever and chills for one week. There were no associated symptoms, such as nausea, vomiting, or bloody stool. Abdominal computed tomography (CT) showed mild wall thickening of remnant sigmoid colon and an 8×5 cm abscess in the pelvic region. The abscess was treated by percutaneous drainage and antibiotics. After 16 days, he was discharged and all symptoms became improved after discharge. In the present case, we demonstrated that percutaneous drainage of intra-abdominal abscess of Crohn's disease can be a safe and effective measure.

並列關鍵字

Crohn's disease ； abscess ； drainage