Radiology Case Reports (Nov 2023)

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

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

Journal volume & issue
Vol. 18, no. 11
pp. 4115 – 4118

Abstract

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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.

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