Anaplastic large cell lymphoma mimicking a psoas abscess

We report a case of Anaplastic Large Cell Lymphoma mimicking a psoas abscess in a 6-year-old girl which posed significant diagnostic challenges. She presented with a vague two-month history of anaemia, fevers and back and abdominal pain. Axial imaging including MRI suggested a diffuse, inflammatory...

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Main Authors: Arushi Singh, Piyumi De Silva, Janis Chamberlain, Aniruddh Deshpande
Format: Article
Language:English
Published: Elsevier 2020-04-01
Series:Journal of Pediatric Surgery Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2213576620300439
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author Arushi Singh
Piyumi De Silva
Janis Chamberlain
Aniruddh Deshpande
author_facet Arushi Singh
Piyumi De Silva
Janis Chamberlain
Aniruddh Deshpande
author_sort Arushi Singh
collection DOAJ
description We report a case of Anaplastic Large Cell Lymphoma mimicking a psoas abscess in a 6-year-old girl which posed significant diagnostic challenges. She presented with a vague two-month history of anaemia, fevers and back and abdominal pain. Axial imaging including MRI suggested a diffuse, inflammatory lesion in the right psoas muscle and she was commenced on an intravenous antibiotic therapy regimen but with little improvement. An open biopsy was performed and histology confirmed Anaplastic Lymphoma Kinase 1 positive ALCL. To our knowledge, this is only the second case of ALCL with the tissues adjacent the psoas muscle as the primary extra nodal site in the paediatric population. Keywords: Anaplastic large cell lymphoma, Psoas abscess, Paediatric lymphoma
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spelling doaj.art-230cbb82f1b744159da5ccf9a9c434d42022-12-21T18:23:10ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662020-04-0155Anaplastic large cell lymphoma mimicking a psoas abscessArushi Singh0Piyumi De Silva1Janis Chamberlain2Aniruddh Deshpande3Corresponding author. PO Box 89, Muswellbrook, New South Wales, 2333, Australia.; John Hunter Children's Hospital, Kookaburra Circuit, New Lambton Heights, New South Wales, 2305, AustraliaJohn Hunter Children's Hospital, Kookaburra Circuit, New Lambton Heights, New South Wales, 2305, AustraliaJohn Hunter Children's Hospital, Kookaburra Circuit, New Lambton Heights, New South Wales, 2305, AustraliaJohn Hunter Children's Hospital, Kookaburra Circuit, New Lambton Heights, New South Wales, 2305, AustraliaWe report a case of Anaplastic Large Cell Lymphoma mimicking a psoas abscess in a 6-year-old girl which posed significant diagnostic challenges. She presented with a vague two-month history of anaemia, fevers and back and abdominal pain. Axial imaging including MRI suggested a diffuse, inflammatory lesion in the right psoas muscle and she was commenced on an intravenous antibiotic therapy regimen but with little improvement. An open biopsy was performed and histology confirmed Anaplastic Lymphoma Kinase 1 positive ALCL. To our knowledge, this is only the second case of ALCL with the tissues adjacent the psoas muscle as the primary extra nodal site in the paediatric population. Keywords: Anaplastic large cell lymphoma, Psoas abscess, Paediatric lymphomahttp://www.sciencedirect.com/science/article/pii/S2213576620300439
spellingShingle Arushi Singh
Piyumi De Silva
Janis Chamberlain
Aniruddh Deshpande
Anaplastic large cell lymphoma mimicking a psoas abscess
Journal of Pediatric Surgery Case Reports
title Anaplastic large cell lymphoma mimicking a psoas abscess
title_full Anaplastic large cell lymphoma mimicking a psoas abscess
title_fullStr Anaplastic large cell lymphoma mimicking a psoas abscess
title_full_unstemmed Anaplastic large cell lymphoma mimicking a psoas abscess
title_short Anaplastic large cell lymphoma mimicking a psoas abscess
title_sort anaplastic large cell lymphoma mimicking a psoas abscess
url http://www.sciencedirect.com/science/article/pii/S2213576620300439
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AT aniruddhdeshpande anaplasticlargecelllymphomamimickingapsoasabscess