Case No. 27: Pott’s Disease with Psoas Abscess:
CT Abdomen with contrast.
Report of Pott’s Disease with Psoas Abscess:
Abdominal CT was performed which showed left sided psoas abscesses displacing the left kidney anteriorly and involving the L1 vertebral body with marked erosion and destruction. The right kidney is normal.
Pott’s Disease with Psoas Abscess
The paradiscal lesion, which begins in the vertebral metaphysis and erodes the cartilaginous end plate, with resulting disc space narrowing and discitis is the most common pattern of vertebral involvement in the adulthood.
The iliopsoas compartment begins at the T12 vertebra and extends to the lesser trochanter of the femur. It is in close contact with the retroperitoneal organs, pelvis, and thigh. Infections of the spine can spread into the iliopsoas compartment, pelvis, and thigh. The disease usually is confined to one interspace, with the involvement of two vertebrae, although involvement of multiple contiguous or noncontiguous vertebrae may occur.