[A voluminous foraminal and extra foraminal disk hernia mimicking a tumor].
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.
Laatar
Ahmed
A
Services de Rhumatologie, Hôpital Mongi Slim, La Marsa.
Chekili
Selma
S
Hajri
Ryme
R
Kassab
Selma
S
Frini
Selima
S
Rezgui
Lamia
L
Hendaoui
Lotfi
L
Zakraoui
Leïth
L
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