Curbside Consultation in IBD: 49 Clinical Questions, Second Edition

David T Rubin, MD; Sonia Friedman, MD; Francis A Farraye, MD MSc

Question 34: My Patient With Crohn’S Disease Has An Ileal Abscess. What Is The Appropriate Management And Timing Of Medical And Surgical Therapies? (continued)

Linda A. Feagins, MD; Sunanda V. Kane, MD

Crohn’s disease (CD) is characterized by transmural inflammation of the bowel wall. Consequently, the disease is often complicated by fistula formation, bowel perforations, and abscesses. Intra-abdominal abscesses develop in 10% to 28% of patients with CD. This may be the presenting feature of the disease or may develop during the course of the illness either spontaneously or as a complication of surgery. The combination of an intra-abdominal abscess with active CD poses a particular dilemma for the treating physician, who must weigh the benefits of using…