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Inflamm Bowel Dis. 2003 Mar;9(2):122-4.

Case report: magnetic resonance imaging in the diagnosis of epidural abscess complicating perirectal fistulizing Crohn's disease.

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  • 1Division of Gastroenterology & Hepatology, Medical College of Wisconsin, Milwaukee, Wisconsin 53226, USA.


Epidural abscess is a rare complication of fistulizing Crohn's disease (CD), potentially appearing as neurologic symptoms or back and leg pain. We report a case of a large epidural abscess resulting from uncontrolled fistulizing CD, which was rapidly defined using gadolinium-enhanced magnetic resonance imaging (MRI). Whenever caudal neurologic symptoms, back pain, and fever arise in CD patients, diagnostic MRI of the pelvis in addition to conventional computerized tomography should be considered to identify perirectal fistulization to the spine.

[PubMed - indexed for MEDLINE]
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