Garg Bhavuk, Chakraborty Soumya, Kumar Vijay, Malhotra Rajesh
Department of Orthopaedics, All India Institute of Medical Sciences, India.
Pan Afr Med J. 2012;12:29. Epub 2012 Jun 11.
Psoas abscess in cases of tuberculosis originates from the primary lesion in the lower dorsal or the lumbar spine. From the spinal origin of the Psoas muscle, this abscess tracks down its sheath and may be palpable in the iliac fossa, in the lumbar triangle, in the upper part of thigh below the inguinal ligament. We present a rare case, where patient presented with thigh swelling, which on first look gave an impression of a malignant origin. But subsequent investigation revealed it to be one of tuberculous origin, and that to, tracking down of a Psoas abscess. According to best of our knowledge, there has been no reported case of a Psoas abscess tracking down to the thigh and knee and mimicking a tumour.
结核性腰大肌脓肿起源于下背部或腰椎的原发性病变。腰大肌起自脊柱，该脓肿沿其肌鞘向下蔓延，可在髂窝、腰三角、腹股沟韧带下方的大腿上部触及。我们报告一例罕见病例，患者表现为大腿肿胀，初诊时疑似恶性肿瘤。但后续检查显示为结核性，且是腰大肌脓肿向下蔓延所致。据我们所知，此前尚无腰大肌脓肿向下蔓延至大腿和膝关节并酷似肿瘤的病例报道。
