30 November 2023: Articles
Polybacterial Iliopsoas Muscle Abscess as an Indication for Early Diagnosis of Crohn’s Disease
Unusual clinical course, Challenging differential diagnosis, Educational Purpose (only if useful for a systematic review or synthesis)
Shun Yamashita A* , Masahiko Nakamura A , Takashi Akutagawa D , Orisa Nakashima A , Masaki Tago A , Motohiro Esaki D , Shu-ichi Yamashita DDOI: 10.12659/AJCR.941399
Am J Case Rep 2023; 24:e941399
Figure 1. Abdominal computed tomography with contrast enhancement findings. (A) Horizontal section image at the time of admission. (B) Coronal section image on admission. (C) Horizontal section image on day 19. (D) Coronal section image on day 19. On admission, abdominal computed tomography (CT) with contrast enhancement showed a large low-density area in the right psoas muscle with ring enhancement around it (A, B; arrows) and air density areas inside it (A, B; arrows), suggesting a large, gas-producing right iliopsoas muscle abscess (IMA). Abdominal CT with contrast enhancement on day 19 revealed the reappearance of the right IMA after drainage tube removal (C, D; arrows).