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克罗恩病伴盆腔脓肿表现为腰椎间盘突出症。

Crohn's disease with pelvic abscess appearing as lumbar disc herniation.

作者信息

O'Neil D J, Harding D

出版信息

Clin Orthop Relat Res. 1987 Sep(222):174-80.

PMID:3621717
Abstract

Crohn's disease (regional enteritis) is a chronic inflammatory disease of the bowel with well-documented clinical manifestations and complications. This report of a 35-year-old woman with Crohn's disease outlines the clinical presentation and studies illustrating "quiescent" regional enteritis. The patient was treated for one of the complications of this disease entity. She was referred to the orthopedic clinic with symptoms of lumbar disc syndrome, as well as a painful hip. Crohn's disease was diagnosed and assumed to be well controlled. Physical examination revealed a subgluteal abscess, ostensibly caused by Crohn's disease. The abscess fistulized through the greater sciatic notch. The capricious nature of this disease entity is self-evident.

摘要

克罗恩病(局限性肠炎)是一种肠道慢性炎症性疾病,其临床表现和并发症都有充分的文献记载。这份关于一名35岁克罗恩病女性患者的报告概述了临床表现以及说明“静止期”局限性肠炎的研究。该患者因这种疾病实体的一种并发症接受治疗。她因腰椎间盘综合征症状以及髋关节疼痛被转诊至骨科诊所。克罗恩病被诊断出来且被认为得到了良好控制。体格检查发现一个臀下脓肿,表面上是由克罗恩病引起的。脓肿通过坐骨大孔形成了瘘管。这种疾病实体的多变性不言而喻。

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