Is surgery necessary for colonic fistulas and psoas abscesses in patients with Crohn's disease? A case report.

Zheyu Wang, Yao Yao, Fen Wang

Open access · goldAbstract readCase Reports

In one paragraph

Article in International journal of surgery case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

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0citing papers in PubMed

–field-weighted citation impact, top 84% of its field

1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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0 citing papers in PubMed, 0 citations in OpenAlex.

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4 · The record

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5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Zheyu WangDepartment of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, PR China.

Yao YaoDepartment of Gastroenterology, Zhangjiajie People's Hospital, Zhangjiajie 427000, PR China.

Fen WangDepartment of Gastroenterology, Third Xiangya Hospital, Central South University, Changsha 410013, PR China. Electronic address: wfen-judy@csu.edu.cn.

Central South University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introduction and importanceCrohn's disease (CD) is a chronic gastrointestinal granulomatous disease. When CD is complicated by abscess formation, the most quality of life of patients were seriously affected, especially those with intestinal fistula, intestinal stenosis or severe disease activity. CASE PRESENTATION: We present a case of a 20-year-old male with CD associated with intestinal fistula and psoas muscle abscess formation, who was successfully managed by drugs and nutrition without surgery. CLINICAL DISCUSSION: Surgery is undoubtedly the most effective treatment for CD with abscesses/fistulas. Whereas, for patients sensitive to drug therapy, abscess puncture and drainage could be considered as alternative to surgery, at this time enteral nutrition, antibiotics and immunosuppressants is particularly critical.

conclusionWe suggest that CD patients complicated with abscess formation in clinical, if the infection can be controlled before operation, and the abscess site is convenient for puncture and drainage, who could consider to choose comprehensive treatment like enteral nutrition, antibiotics, continuous local irrigation of the abscess cavity via the catheter and immunosuppressive agents.

Indexed as

Case reportCrohn's diseaseEnteral nutritionInfliximabIntestinal fistulaPsoas muscle abscess

Identifiers

PMID36370474

DOI10.1016/j.ijscr.2022.107774

PMCPMC9647505

OpenAlexW4308904419

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LicenceCC BY-NC-ND

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.