Degenerative Disc Disease Mimicking Spondylodiscitis with Bilateral Psoas Abscesses.

Details

Serval ID
serval:BIB_A06561286677
Type
Article: article from journal or magazin.
Publication sub-type
Case report (case report): feedback on an observation with a short commentary.
Collection
Publications
Institution
Title
Degenerative Disc Disease Mimicking Spondylodiscitis with Bilateral Psoas Abscesses.
Journal
World neurosurgery
Author(s)
Simonin A., Paris O., Brouland J.P., Morard M., San Millán D.
ISSN
1878-8769 (Electronic)
ISSN-L
1878-8750
Publication state
Published
Issued date
12/2018
Peer-reviewed
Oui
Volume
120
Pages
43-46
Language
english
Notes
Publication types: Case Reports ; Journal Article
Publication Status: ppublish
Abstract
Sequestered disc fragments may present as a lesion with peripheral enhancement on magnetic resonance imaging. When located in the psoas muscle compartment, this finding could mimic an abscess.
We describe a case of a 52-year-old man who returned from Togo after 2 years of living in precarious conditions. He was afebrile and complaining of lumbar back pain. The magnetic resonance imaging showed L3 and L4 vertebral body enhancement with bilateral psoas lesions in continuity with the disc space, suggesting spondylodiscitis with a differential diagnosis of inflammatory herniated disc. A computed tomography-guided biopsy of the right psoas lesion was performed to rule out spondylodiscitis. Histology was compatible with extruded disc material.
Herniated disc fragments should be considered as a differential diagnosis of psoas abscesses. Coronal plane images may show the continuity of bilateral herniated disc fragments, mimicking psoas abscesses.
Keywords
Diagnosis, Differential, Discitis/diagnosis, Humans, Intervertebral Disc Degeneration/diagnostic imaging, Intervertebral Disc Degeneration/pathology, Intervertebral Disc Degeneration/surgery, Intervertebral Disc Displacement/diagnostic imaging, Intervertebral Disc Displacement/pathology, Intervertebral Disc Displacement/surgery, Male, Middle Aged, Psoas Abscess/diagnostic imaging, Psoas Abscess/pathology, Psoas Abscess/surgery, Degenerative disc disease, Herniated disc fragment, Psoas abscess, Spondylodiscitis
Pubmed
Web of science
Create date
28/08/2018 13:55
Last modification date
20/08/2019 15:06
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