Sequestered disc fragment mimicking a psoas abscess

Spine J. 2012 Oct;12(10):e1-4. doi: 10.1016/j.spinee.2012.08.022. Epub 2012 Sep 29.

Abstract

Background context: If a herniated lumbar disc fragment extrudes and migrates away from the spinal column, the radiographic appearances can be confusing.

Study design: In this article, we report a rare case of a sequestrated disc fragment in the psoas muscle, discrete from the adjacent disc space, which presented with features similar to a psoas abscess on imaging studies.

Conclusions: It is vital that in such cases the correct diagnosis is made to avoid unnecessary treatments and inappropriate management.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diagnosis, Differential
  • Foreign-Body Migration / diagnosis*
  • Foreign-Body Migration / surgery
  • Humans
  • Intervertebral Disc / pathology*
  • Intervertebral Disc Displacement / diagnosis*
  • Male
  • Middle Aged
  • Psoas Abscess / diagnosis*
  • Psoas Muscles / pathology*
  • Psoas Muscles / surgery
  • Treatment Outcome