Home About us Ahead Of Print Instructions Submission Subscribe Advertise Contact e-Alerts Login Users Online:168 CASE REPORT Year : 2013 | Volume : 6 | Issue : 6 | Page : 674-676 De novo pelvic abscess: An unreported primary presentation of Pott's spine Gunjan Desai , Suhani , Shadan Ali , Shaji Thomas , Kusum Meena , Lalit Aggarwal , Jitendar Kumar Department of Surgery, Lady Hardinge Medical College and Smt. Sucheta Kriplani Hospital, Shaheed Bhagat Singh Marg, New Delhi, India Click here for correspondence address and email Date of Web Publication 6-Sep-2014 Abstract Pott's spine leading to pelvic abscess is an uncommon presentation of tuberculosis. We recently cared for a young male who presented with a pelvic abscess without evidence of any primary genitourinary or bowel pathology. On computed tomography (CT), patient was found to have Pott's spine as the primary pathology. The pelvic abscess was drained by high transrectal drainage and its tubercular nature was confirmed by microbiological tests. Patient was subsequently stated on antitubercular drugs. Our patient is a rare and the first reported case of a young immunocompetent male who presented with a pelvic abscess as the sole manifestation of Pott's spine without coexisting psoas involvement or any neurological deficit. To conclude, any patient presenting with pelvic abscess, Pott's spine should be considered amongst the differential diagnosis especially in endemic regions. Keywords: Antitubercular drugs, pelvic abscess, Pott′s spine How to cite this article: Desai G, Suhani, Ali S, Thomas S, Meena K, Aggarwal L, Kumar J. De novo pelvic abscess: An unreported primary presentation of Pott's spine. Ann Trop Med Public Health 2013;6:674-6 How to cite this URL: Desai G, Suhani, Ali S, Thomas S, Meena K, Aggarwal L, Kumar J. De novo pelvic abscess: An unreported primary presentation of Pott's spine. Ann Trop Med Public Health [serial online] 2013 [cited 2016 Oct 6];6:674-6. Available from: http://www.atmph.org/text.asp?2013/6/6/674/140256 Introduction Tuberculosis is a pandemic and is amongst the top ten killer infectious diseases, second only to HIV, with 9.4 million cases reported worldwide. [1] ,[2] Only 1-2% cases have involvement of the skeletal system, in which tubercular spine (Pott's spine) constitutes almost half of the cases. Pott's spine is a dangerous form of skeletal tuberculosis and is most frequent in lower thoracic and lumbar spine, with thoracolumbar junction being the commonest. [2] Patients present commonly with local pain, constitutional symptoms, or paraplegia due to cord compression. [3] It may be complicated by development of psoas and/or retroperitoneal abscess with or without neurological sequale. [2] However, pelvic abscess as the sole manifestation and initial presentation of Pott's spine without neurological complications or psoas involvement has not been reported in the literature so far. Search Similar in PUBMED Search Pubmed for Desai G Suhani Ali S Thomas S Meena K Aggarwal L Kumar J Search in Google Scholar for Desai G Suhani Ali S Thomas S Meena K Aggarwal L Kumar J Related articles Antitubercular drugs pelvic abscess Pott's spine Email Alert * Add to My List * * Registration required (free) Abstract Introduction Case Report Discussion Conclusion References Article Figures Article Access Statistics Viewed 638 Printed 22 Emailed 1 PDF Downloaded 2 Comments [Add] for mobile devices