CAJ | 학술논문

克罗恩病引起的肠外瘘并右侧髂窝脓肿临床比较少见，容易与单纯的软组织感染造成的髂窝脓肿混淆误诊，延误最佳的救治时期，导致感染反复发作，需要不断切除病变组织导致术腔扩大，给患者带来痛苦。建议主治医生在接治以疼痛、发热、心率加快、血压升高为主症，查体右腹股沟区有椭圆形、质软、光滑的无活动性包块的患者时，仔细辨别临床特点中容易被忽视的细节，借助实验室检查和腹部CT、MRI、肠镜检查明确诊断，再制定合理的治疗方案，切开引流吸出脓液、手术切除病变肠管、残端吻合，尽量一次性根治，减少患者痛苦。
극라은병인기적장외루병우측가와농종림상비교소견，용역여단순적연조직감염조성적가와농종혼효오진，연오최가적구치시기，도치감염반복발작，수요불단절제병변조직도치술강확대，급환자대래통고。건의주치의생재접치이동통、발열、심솔가쾌、혈압승고위주증，사체우복고구구유타원형、질연、광활적무활동성포괴적환자시，자세변별림상특점중용역피홀시적세절，차조실험실검사화복부CT、MRI、장경검사명학진단，재제정합리적치료방안，절개인류흡출농액、수술절제병변장관、잔단문합，진량일차성근치，감소환자통고。
Crohn’s disease caused by intestinal fistula and right iliac fossa abscess clinical rare,is easy and simple soft tissue infection iliac fossa abscess confusion caused by misdiagnosis and delay the best treatment period,lead to recurrent infection,diseased tissue need to constantly lead to cavity expansion, bring pain to patients.Proposed doctor on the cure to pain,fever,heart rate,blood pressure increases as the primary symptom,physical examination right groin area are oval,soft,smooth,patients with active bag piece of carefully to identify the clinical features of easily neglected details,with the aid of laboratory examination and abdominal CT,MRI and endoscopic diagnosis,to formulate the reasonable treatment,incision drainage suck out pus,diseased bowel surgery, residual end anastomosis,as far as possible one-time cure,reduce the patients pain.