Incidence and Microbiology of Abdominal and Pelvic Abscess in Crohn's Disease

摘要: The incidence of abdominal and pelvic abscess is reported from a consecutive series 111 patients undergoing 124 resections for Crohn's disease. Preoperative abscesses were found as complication disease in 13 (10%) 8 clinically unsuspected. majority preoperative confined to one site (localized bowel, psoas sheath, pelvis, or the wall). All occurred requiring an emergency urgent operation. Patients with had significantly lower serum albumin levels increased alkaline phosphatase values than without abscess. Postoperative 17 (14%) six multiple. Five postoperative who abscess; these recurrent all presented 614 wk after uncomplicated initial principal bacterial isolates Escherichia coli (54%), Bacteroides fragilis (44%), enterococci (41%), viridans streptococci (31%). was unrelated use steroid therapy.