Psoas muscle abscess presenting as lumbar hernia

Case contributed by Dr Maulik S Patel

Presentation

Known case of tuberculous spondylitis - 8 mths back. Treatment defaulter. C/o left lumber swelling - Few days.

Patient Data

Age: 25 yrs
Gender: Male

L4-L5 disc space reduction with erosion of inferior end plate of L4 vertebra.

Contous bulge is noted in left psoas shadow.

An abscess with tiny wall calcification is noted involving left psoas muscle.

It herniates into lumbar region and enters in subcutaneous plane.

Communication between larger subcutanous abscess and relatively smaller 'psoas' abscess is visible.

Case Discussion

Findings favour psoas abscess presenting as lumbar hernia.

PlayAdd to Share

Case information

rID: 27212
Case created: 23rd Jan 2014
Last edited: 18th Dec 2015
System: Spine
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.