ArticleEuropean journal of radiology open2026
Clinical and radiologic predictors of one-year surgical outcomes in Crohn's disease-related intra-abdominal abscesses.
Article in European journal of radiology open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To identify clinical and radiological prognostic factors associated with delayed surgery after diagnosis of a Crohn's disease-related intra-abdominal abscess. Methods: We conducted a retrospective single-center study including patients with Crohn's disease and confirmed intra-abdominal abscess, managed between 2012 and 2022. The primary outcome was delayed surgery related to the index abscess, defined as bowel resection or surgical drainage performed between day 15 and one year after diagnosis. Clinical, biological, therapeutic, and imaging data were collected, and initial imaging studies were systematically reviewed. Hazard ratios (HR) were estimated using univariate and multivariate Cox models. Kaplan-Meier survival analyses and log-rank tests assessed time to surgery. Results: Among 145 patients included, 59 underwent surgery within one year. In multivariate analysis, larger abscess long-axis diameter (HR = 1.22; 95% CI [1.09-1.35]; Conclusion: Larger abscesses and older age increased surgical risk, while IV antibiotics, well-defined morphology, and later Crohn's diagnosis reduced it.
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