Sequestered disc herniation mimicking psoas abscess: A rare case report

Gaurav Parmar, Priti Soin, Pranav Sharma, Christy French, Bing Han, Puneet S. Kochar

Research output: Contribution to journalArticlepeer-review

Abstract

Intervertebral disc herniation is common condition, with majority occurring in lumbar and cervical spine. Most lumbar disk herniations occur within the spinal canal, with approximately 7%-10% identified within the foramen or extraforaminal location. Extraforaminal disc herniation in extreme lateral, retroperitoneal or anterior terms are used when disc material is seen towards anterolateral or anterior to the spine. Disc herniation in these locations is easily mistaken for an abscess or a neoplasm especially when it is not connected to the parent disc (sequestered disc). We describe a case of 60-year male who initially was misdiagnosed as psoas abscess and subjected to invasive investigation which later turned out to be histologically confirmed disc sequestration in the retroperitoneum. Thus, knowledge of this condition is essential in avoiding unnecessary workup and treatment.

Original languageEnglish (US)
Pages (from-to)223-226
Number of pages4
JournalRadiology Case Reports
Volume17
Issue number1
DOIs
StatePublished - Jan 2022

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

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