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脊柱硬膜外脓肿——炎症性肠病的一种罕见并发症。

Spinal epidural abscess -- a rare complication of inflammatory bowel disease.

作者信息

Brown C J, Jaffer H, Jaffer N, Burul C, McLeod R S

机构信息

Department of Surgery, Mount Sinai Hospital, Toronto, Canada.

出版信息

Can J Gastroenterol. 2008 Feb;22(2):177-80. doi: 10.1155/2008/893757.

DOI:10.1155/2008/893757
PMID:18299737
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2659139/
Abstract

Spinal epidural abscess is an uncommon but highly morbid illness. While it usually afflicts older, immunocompromised patients, this condition has been reported as a result of intestinal perforation in the setting of inflammatory bowel disease. Two cases of spinal epidural abscess in patients with inflammatory bowel disease are reported: one in a patient with Crohn's disease and one in a patient with ulcerative colitis after restorative proctocolectomy.

摘要

脊柱硬膜外脓肿是一种罕见但致病率很高的疾病。虽然它通常折磨老年免疫功能低下患者，但这种情况已被报道为炎症性肠病患者肠道穿孔的结果。本文报告了两例炎症性肠病患者发生脊柱硬膜外脓肿的病例：一例发生在克罗恩病患者中，另一例发生在接受直肠结肠切除术后的溃疡性结肠炎患者中。

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本文引用的文献

1
Meningitis and epidural abscess associated with fistulizing Crohn's disease.与瘘管性克罗恩病相关的脑膜炎和硬膜外脓肿。
Dig Dis Sci. 2004 Sep;49(9):1461-5. doi: 10.1023/b:ddas.0000042247.83365.53.
2
Spinal epidural abscess in adults.成人脊柱硬膜外脓肿
J Am Acad Orthop Surg. 2004 May-Jun;12(3):155-63. doi: 10.5435/00124635-200405000-00003.
3
Case report: magnetic resonance imaging in the diagnosis of epidural abscess complicating perirectal fistulizing Crohn's disease.病例报告：磁共振成像在诊断并发直肠周围瘘管性克罗恩病的硬膜外脓肿中的应用
Inflamm Bowel Dis. 2003 Mar;9(2):122-4. doi: 10.1097/00054725-200303000-00006.
4
The clinical course of fistulating Crohn's disease.瘘管性克罗恩病的临床病程。
Aliment Pharmacol Ther. 2003 May 1;17(9):1145-51. doi: 10.1046/j.1365-2036.2003.01561.x.
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Spinal epidural abscess successfully treated with percutaneous, computed tomography-guided, needle aspiration and parenteral antibiotic therapy: case report and review of the literature.经皮计算机断层扫描引导下针吸及胃肠外抗生素治疗成功治愈脊柱硬膜外脓肿：病例报告及文献复习
Neurosurgery. 2002 Aug;51(2):509-12; discussion 512.
6
Anal complications after restorative proctocolectomy (J-pouch).回肠储袋肛管吻合术（J袋）后的肛门并发症
Am Surg. 2002 Jul;68(7):628-30.
7
Diagnosis and treatment of urinary tract complications in Crohn's disease: an experience over 15 years.克罗恩病泌尿系统并发症的诊断与治疗：15年经验总结
Can J Gastroenterol. 2002 Apr;16(4):225-9. doi: 10.1155/2002/204614.
8
The natural history of fistulizing Crohn's disease in Olmsted County, Minnesota.明尼苏达州奥姆斯特德县瘘管性克罗恩病的自然病史。
Gastroenterology. 2002 Apr;122(4):875-80. doi: 10.1053/gast.2002.32362.
9
Spinal epidural abscess: a meta-analysis of 915 patients.脊柱硬膜外脓肿：915例患者的荟萃分析
Neurosurg Rev. 2000 Dec;23(4):175-204; discussion 205. doi: 10.1007/pl00011954.
10
Enterovesical fistulas complicating Crohn's disease: clinicopathological features and management.克罗恩病并发肠膀胱瘘：临床病理特征与处理
Int J Colorectal Dis. 2000 Aug;15(4):211-5; discussion 216-7. doi: 10.1007/s003840000233.