Incidental finding of Pott's disease with abscesses of the psoas simulating an appendicular syndrome

Allou Florent Kouadio; Akoli Eklou Baudoin Bravo-Tsri; Kesse Emile Tanoh; Kouamé Paul Bonfils Kouassi; Brou Lambert Yao; Bouassa Davy Mélaine Kouakou; Sara Carole Sanogo; Malick Soro; Issa Konate

doi:10.1016/j.radcr.2023.08.074

Incidental finding of Pott's disease with abscesses of the psoas simulating an appendicular syndrome

Radiol Case Rep. 2023 Sep 7;18(11):4115-4118. doi: 10.1016/j.radcr.2023.08.074. eCollection 2023 Nov.

Authors

Allou Florent Kouadio^{1

2}, Akoli Eklou Baudoin Bravo-Tsri^{1

2}, Kesse Emile Tanoh^{1

2}, Kouamé Paul Bonfils Kouassi^{1

2}, Brou Lambert Yao^{1

2}, Bouassa Davy Mélaine Kouakou¹, Sara Carole Sanogo¹, Malick Soro¹, Issa Konate^{1

2}

Affiliations

¹ Radiology Department of Bouaké University Hospital, 01 BP 1174, Bouaké, Ivory Coast.
² Alassane Ouattara University of Bouaké, Bouaké, Ivory Coast.

Abstract

Pott's disease or tuberculous spondylodiscitis is the disco-vertebral localization of Koch's bacillus. It causes progressive spinal lesions, with abscesses forming in the perivertebral soft tissues and epidural spaces. Medical imaging plays an indisputable role in the diagnosis and management of Pott's disease. Magnetic resonance imaging (MRI) enables early positive diagnosis and assessment of spinal damage. Computed tomography (CT) is currently the best interventional imaging method for the drainage of soft tissue abscesses and disco-vertebral biopsies for bacteriological and histological purposes. We report a case of accidental discovery of Pott's disease with abscesses of the psoas simulating an appendicular syndrome and describe its epidemiological, clinical, and radiological aspects through a review of the literature.

Keywords: CT; MRI; Pott's disease; Psoas abscess; Spondylodiscitis.

Publication types

Case Reports