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
From the case:
Psoas muscle abscess presenting as lumbar hernia
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L4-L5 disc space reduction with erosion of inferior end plate of L4 vertebra.
Contous bulge is noted in left psoas shadow.
From the case:
Psoas muscle abscess presenting as lumbar hernia
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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 favor psoas abscess presenting as lumbar hernia.
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