Sequestered disc herniation mimicking psoas abscess: A rare case report

Authors

Gaurav Parmar, Department of Radiology, Yale New Haven Health Bridgeport Hospital, 267 Grant Street, Bridgeport, CT 06610, USA.
Priti Soin, Department of Pathology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA.
Pranav Sharma, Department of Radiology, University of Minnesota Medical Center, 420 Delaware St SE Minneapolis, Minneapolis, MN 55455, USA.
Christy French, Department of Radiology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17043, USA.
Bing Han, Department of Pathology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17033, USA.
Puneet S. Kochar, Department of Radiology, Penn State Health Milton S. Hershey Medical Center, 500 University Drive, Hershey, PA 17043, USA.

Document Type

Article

Publication Title

Radiology case reports

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.

First Page

223

Last Page

226

DOI

10.1016/j.radcr.2021.10.024

Publication Date

1-1-2022

Recommended Citation

Parmar, Gaurav; Soin, Priti; Sharma, Pranav; French, Christy; Han, Bing; and Kochar, Puneet S., "Sequestered disc herniation mimicking psoas abscess: A rare case report" (2022). All Research. 87.
https://scholar.bridgeporthospital.org/all_research/87

Identifier

34824655 (pubmed); PMC8605185 (pmc); 10.1016/j.radcr.2021.10.024 (doi); S1930-0433(21)00743-3 (pii)