Author(s)

Atchi Walla^1*, Anthony K. Beketi², Ibrahim Tine³, Faré Gnandi-Piou⁴, Komi Amakoutou¹, Assang Dossim¹

¹Department of Orthopedics and Trauma, Campusteaching Hospital, Lomé, Togo.
²Department of Neurosurgery, Sylvanus Olympioteaching Hospital, Lomé, Togo.
³Department of Neurosurgery, Dakar Teaching Principal Hospital, Dakar, Sénégal.
⁴Department of Orthopedic Surgery and Trauma, Kara Teaching Hospital, Kara, Togo.

In Pott’s disease, cold abscesses usually sit and spread along the psoas muscle. This case concerned a 60 years old man who came to us with bilateral lomboradicular pain and a swelling of inguinal area and the anterior part of the left thigh. We found a 2 years long lasting story of low back pain complaint. Physical examination showed good general health status, stiffness of lumber spine, a left psoitis and no neurological deficit. CT scan going downward from the lumbar spine to the pelvic region and femoral limb with coronal reconstruction demonstrated a huge disco-vertebral destruction of L2-L3 with translation, and bilateral paramedian psoas abscess migrating subfascially toward Scarpa triangle and cleaving anteriorly mainly muscles of the left thigh. After 12 months medical treatment, the evolution has been favorable with clinical cure. The localization of the cold abscess in the left thigh anterior muscles compatment is uncommon. It is why we report this case.

Lumbar Pott’s Disease, Thigh Abscess, Developing Country

Walla, A. , Beketi, A. , Tine, I. , Gnandi-Piou, F. , Amakoutou, K. and Dossim, A. (2018) Case of Unusual Abscess Localization in Lumbar Pott’s Disease. Open Journal of Orthopedics, 8, 418-422. doi: 10.4236/ojo.2018.811043.