Perirenal and Perivesical Abscesses

These complications do not exactly represent a urologie manifestation of IBD, since they are retroperitoneal or pelvic collections secondary to inflammation and perforation of the bowel. However, they can manifest with urologic symptoms and moreover they can be the intermediate step in developing a communication between the bowel and the urinary system (see section Entero-Urinary Fistula (EUF) below). Frequently the inflammatory collection causes renal displacement or bladder deformity and the development of fibrosis may result in deviation and obstruction of the ureter (see subsection) [19]. Abscesses are best diagnosed via ultrasound or CT scan (Fig. 2). Percutaneous drainage is an option, but the presence of abscesses is generally an indication for bowel resection.

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