Presentation
Known case of TB spine (confirmed).
Patient Data
Destruction of T6 down to L1 vertebral bodies with loss of intervertebral disc spaces of T9-T10, T10-T11, and T12-L1 levels, sclerosis of the vertebral bodies, and gibbosity deformity Large elongated thick-walled fluid collection within the right psoas muscle originated from the extensive primary known spondylitis causing anteroinferior displacement of the right kidney.
Multiple calcified mediastinal and retroperitoneal lymphadenopathies.
Drainage of psoas collection is present on the right side.
The small fluid collection also is seen along with the right thigh anterosuperior aspect due to extension o the right psoas abscess along with the course of the right psoas muscle.
Case Discussion
Tuberculous spondylitis with gibbous deformity and right psoas abscess formation with downward extension into the abdominal cavity and right groin.
The recent patient was a known case of tuberculous spondylitis since 13 years ago and leave untreated. The patient had a large right psoas abscess about 8 years ago and drainage of the collection was done.