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We describe a case report of a man aged 56 years with a 4-month history of right-sided sciatica-type pain with subclinical disc prolapse evident on MRI. Worsening pain together with the appearance of a tender mass in his right buttock prompted further imaging, which demonstrated an infiltrative mass engulfing the lumbosacral plexus. This was later shown to be a granulocytic sarcoma on biopsy. Intervertebral disc herniation can be an incidental finding and is not always the cause of sciatica.

Original publication

DOI

10.1136/bcr-2016-219009

Type

Journal article

Journal

Bmj case rep

Publication Date

15/02/2017

Volume

2017

Keywords

Buttocks, Humans, Lumbosacral Plexus, Magnetic Resonance Imaging, Male, Middle Aged, Myelodysplastic Syndromes, Sarcoma, Myeloid, Sciatica, Soft Tissue Neoplasms, Ultrasonography