Pott's spine with bilateral psoas abscesses

Case contributed by Prashant Kandel

Presentation

Abdominal pain.

Patient Data

Age: 30 years
Gender: Female

There is lytic destruction of L2, L3 and L4 vertebrae associated with paraspinal abscess and large bilateral psoas abscesses (left > right).

There is altered signal intensity contiguously involving L1, L2, L3 vertebra and intervening discs showing heterogeneous enhancement associated with pedicle destruction. There are also paravertebral and large bilateral psoas abscesses (left > right) showing peripheral rim enhancement with central diffusion restriction.

There is symmetrical, diffuse disc bulge at L3/L4 and L4/L5 levels.

Sacralization of L5 vertebra.

Case Discussion

Case of tubercular spondylodiscitis (Pott's spine) associated with bilateral psoas abscesses.

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