title: [A voluminous foraminal and extra foraminal disk hernia mimicking a tumor].
abstract: In some cases, disc herniation can be voluminous and can then constitute a differential diagnosis with tumours. We report the case of a 46 years-old female with sciatica and crural neuralgia which resisted to medical treatment. X-rays exams were normal, but the computerized tomography showed a voluminous mass in contact with the L5 nervous root and which was developed in the psoas major muscle. The MRI revealed a voluminous foraminal and extra foraminal herniation at the L4-L5 vertebral disc, extended up to the psoas major muscle and associated with an important inflammatory infiltration. Surgical treatment was successful with a follow up of 8 months.
authors.affiliation: Services de Rhumatologie, Hôpital Mongi Slim, La Marsa.
authors.forename: Ahmed
authors.initials: A
authors.lastname: Laatar
authors.forename: Selma
authors.initials: S
authors.lastname: Chekili
authors.forename: Ryme
authors.initials: R
authors.lastname: Hajri
authors.forename: Selma
authors.initials: S
authors.lastname: Kassab
authors.forename: Selima
authors.initials: S
authors.lastname: Frini
authors.forename: Lamia
authors.initials: L
authors.lastname: Rezgui
authors.forename: Lotfi
authors.initials: L
authors.lastname: Hendaoui
authors.forename: Leïth
authors.initials: L
authors.lastname: Zakraoui
mesh_terms: D003937:Diagnosis, Differential; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007405:Intervertebral Disc Displacement / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D008159:Lumbar Vertebrae; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D012585:Sciatica / Q000209:etiology; D013997:Time Factors; D014057:Tomography, X-Ray Computed