Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male

Iliopsoas abscess (IPA) is a rare but potentially life-threatening complication that may occur in patients with Crohn’s disease. We present the case of a 28-year-old male with Crohn’s disease who developed a complicated IPA. Diagnosis was confirmed via CT imaging and colonoscopy, revealing a fistulo...

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Main Authors: Majed Ali, Karam Karam, Emanuel-Youssef Dib, Lamia Azizi, Elias Fiani
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/carm/5555016
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author Majed Ali
Karam Karam
Emanuel-Youssef Dib
Lamia Azizi
Elias Fiani
author_facet Majed Ali
Karam Karam
Emanuel-Youssef Dib
Lamia Azizi
Elias Fiani
author_sort Majed Ali
collection DOAJ
description Iliopsoas abscess (IPA) is a rare but potentially life-threatening complication that may occur in patients with Crohn’s disease. We present the case of a 28-year-old male with Crohn’s disease who developed a complicated IPA. Diagnosis was confirmed via CT imaging and colonoscopy, revealing a fistulous connection to the terminal ileum. The treatment involved percutaneous drainage (PCD), antibiotics, and infliximab. Timely diagnosis, appropriate imaging, and multidisciplinary care are critical to prevent morbidity and recurrence in patients with Crohn’s disease complicated by IPA. This case highlights the importance of personalized treatment strategies and close follow-up in managing Crohn’s-related IPA.
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institution OA Journals
issn 1687-9635
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publishDate 2025-01-01
publisher Wiley
record_format Article
series Case Reports in Medicine
spelling doaj-art-4a1f703d15da4b4e8dea2ccecbbe0eef2025-08-20T02:13:56ZengWileyCase Reports in Medicine1687-96352025-01-01202510.1155/carm/5555016Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young MaleMajed Ali0Karam Karam1Emanuel-Youssef Dib2Lamia Azizi3Elias Fiani4Department of Internal MedicineDepartment of GastroenterologyDepartment of Internal MedicineDepartment of RadiologyDepartment of GastroenterologyIliopsoas abscess (IPA) is a rare but potentially life-threatening complication that may occur in patients with Crohn’s disease. We present the case of a 28-year-old male with Crohn’s disease who developed a complicated IPA. Diagnosis was confirmed via CT imaging and colonoscopy, revealing a fistulous connection to the terminal ileum. The treatment involved percutaneous drainage (PCD), antibiotics, and infliximab. Timely diagnosis, appropriate imaging, and multidisciplinary care are critical to prevent morbidity and recurrence in patients with Crohn’s disease complicated by IPA. This case highlights the importance of personalized treatment strategies and close follow-up in managing Crohn’s-related IPA.http://dx.doi.org/10.1155/carm/5555016
spellingShingle Majed Ali
Karam Karam
Emanuel-Youssef Dib
Lamia Azizi
Elias Fiani
Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
Case Reports in Medicine
title Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
title_full Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
title_fullStr Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
title_full_unstemmed Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
title_short Iliopsoas Abscess Heralding the Diagnosis of Crohn’s Disease in a Young Male
title_sort iliopsoas abscess heralding the diagnosis of crohn s disease in a young male
url http://dx.doi.org/10.1155/carm/5555016
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AT emanuelyoussefdib iliopsoasabscessheraldingthediagnosisofcrohnsdiseaseinayoungmale
AT lamiaazizi iliopsoasabscessheraldingthediagnosisofcrohnsdiseaseinayoungmale
AT eliasfiani iliopsoasabscessheraldingthediagnosisofcrohnsdiseaseinayoungmale