Tuberculous spondylodiskitis with a musculocutaneous fistula

Case contributed by Dr Ammar Haouimi


Chronic lower backache, with tenderness, low grade fever, and swelling at the right pelvicoinguinal region

Patient Data

Age: 50 years
Gender: Female

Narrowing of the L4-L5 disc space with sclerosis and irregular endplates destruction. Thickening of the prevertebral soft tissue with small abscesses formations. A fistulous tract is seen through the right psoas muscle to the ipsilateral pelvic region, forming a large fistulous abscess of the pelvic wall.

Case Discussion

CT features of L4-L5 spondylodiskitis with prevertebral abscess formation and fistulation to the pelvic wall (confirmed as tuberculous in origin).

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Case information

rID: 74025
Published: 1st Feb 2020
Last edited: 17th Aug 2020
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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