Presentation
Admitted with fever and ongoing lumbar spine pain. History of remote trauma to lumbar area. Increased inflammatory markers.
Patient Data
Age: 50 years
Gender: Male
From the case:
Right psoas muscle abscess
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Subtle hypodense lesion with vague rim enhancement within the right psoas muscle
Case Discussion
Contrast-enhanced CT abdomen and pelvis demonstrated slightly rim-enhancing hypo dense lesion in the right psoas muscle.
Given patient fever and raised inflammatory markers, an abscess was the main diagnosis, however hematoma was considered a differential diagnosis.
The patient reported prior trauma to the right lumbar region which most likely resulted in psoas muscle heamatoma that got infected.
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