Nigerian Journal of Clinical Practice

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Iliacus abscess with radiculopathy mimicking herniated nucleus pulposus: Aadditional diagnostic value of magnetic resonance imaging

D.H. Kim, S.H. Woo, W.J. Lee


An iliacus abscess is an extremely rare cause of low back pain. With an iliacus abscess, the classical signs seen with a psoas abscess are frequently absent. Therefore, a timely diagnosis at the initial visit is difficult and inadequate treatment usually results in high mortality. Here, we report the case of 19-year-old man who presented with acute low back pain with radiculopathy and was ultimately diagnosed with an iliacus muscle abscess.

Keywords: Low back pain, Radiculopathy, Iliacus muscle, Abscess, Magnetic resonance imaging
AJOL African Journals Online