We report here a rare presentation of an extra-nodal non-
Hodgkin’s lymphoma. Both clinical presentation radiological
findings were suggestive of psoas abscess. Surgical
debridement was performed and histopathological
examination of the tissue sample revealed the diagnosis of
non-Hodgkin’s lymphoma. It is therefore important to note
that non-Hodgkin’s lymphoma can mimic psoas abscess and
that psoas lesion with vertebral involvement does not
necessarily indicate infection. It is always advisable to obtain needle biopsy to establish diagnosis before embarking on surgical intervention. The practice to send any suspicious tissue obtained intra-operatively for histopathological examination is also warranted.