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Hematoma, Compartment Syndrome

Steel CJS - MedPix (2011)

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hematoma, Compartment Syndrome

History: 65 year old man on warfarin therapy after suffering bilateral DVT's one week ago, presents now with three days of increasing right leg pain after tripping and hitting a table.

Findings: • Frontal and lateral radiographs of the right femur, tibia, and fibula did not reveal any fractures or aggressive osseous lesions. There were mild degenerative changes of the knee with medial and lateral tibial spine spurring, marginal osteophyte formation, and superior patellar osteophyte formation. Subchondral irregularities were appreciated at the medial tibial plateau. • CT with IV contrast revealed a 17 x 8 x 5 cm layering fluid collection in the subcutaneous, extra-fascial compartment of the lateral right lower leg and knee. Hounsfield units of the fluid collection was approximately 45. Previously identified thrombus in right venous collecting system was not visualized due to timing of IV contrast.

Ddx: •Hematoma •Deep vein thrombosis •Post-thrombotic syndrome •Fracture

Dxhow: CT, Incision and drainage

Exam: Gen: Appeared his stated age. He was in obvious pain with ambulation. Ext: Non-pitting edema and ecchymosis localized to the lateral aspect of the right knee and lower leg. The area was not especially warm to touch, but was tender to palpation.

No MeSH data available.


No fractures or osseous lesions, though there is noticeable tissue swelling on the lateral aspect of the lower leg/calf.
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MPX1258_synpic56274: No fractures or osseous lesions, though there is noticeable tissue swelling on the lateral aspect of the lower leg/calf.


Hematoma, Compartment Syndrome

Steel CJS - MedPix (2011)

No fractures or osseous lesions, though there is noticeable tissue swelling on the lateral aspect of the lower leg/calf.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=MPX1258&req=5

MPX1258_synpic56274: No fractures or osseous lesions, though there is noticeable tissue swelling on the lateral aspect of the lower leg/calf.

View Article: MedPix Image - MedPix Case

Affiliation: Uniformed Services University

ABSTRACT

Diagnosis: Hematoma, Compartment Syndrome

History: 65 year old man on warfarin therapy after suffering bilateral DVT's one week ago, presents now with three days of increasing right leg pain after tripping and hitting a table.

Findings: • Frontal and lateral radiographs of the right femur, tibia, and fibula did not reveal any fractures or aggressive osseous lesions. There were mild degenerative changes of the knee with medial and lateral tibial spine spurring, marginal osteophyte formation, and superior patellar osteophyte formation. Subchondral irregularities were appreciated at the medial tibial plateau. • CT with IV contrast revealed a 17 x 8 x 5 cm layering fluid collection in the subcutaneous, extra-fascial compartment of the lateral right lower leg and knee. Hounsfield units of the fluid collection was approximately 45. Previously identified thrombus in right venous collecting system was not visualized due to timing of IV contrast.

Ddx: •Hematoma •Deep vein thrombosis •Post-thrombotic syndrome •Fracture

Dxhow: CT, Incision and drainage

Exam: Gen: Appeared his stated age. He was in obvious pain with ambulation. Ext: Non-pitting edema and ecchymosis localized to the lateral aspect of the right knee and lower leg. The area was not especially warm to touch, but was tender to palpation.

No MeSH data available.