An 87-year-old woman presented to the outpatient clinic with acute onset of swelling
and pain in her left lower leg. She had no recent episodes of trauma. Her vital signs
were normal. Physical examination showed a swollen left lower leg without signs of
inflammation and with ecchymosis around the medial malleolus (Figure 1A, arrows). Blood tests revealed normal C-reactive protein but elevated d-dimer (4.1
µg/mL). Ultrasonography and contrast-enhanced computed tomography showed subcutaneous
edema with fluid collection in the intermuscular spaces without any findings of deep
vein thrombosis (DVT) (Figure 1B, arrowheads). Given the history, physical findings, and imaging results, we made
a diagnosis of ruptured Baker's cyst. The symptoms had disappeared after 14 days of
rest and leg elevation.
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References
- Popliteal cysts: a current review.Orthopedics. 2014; 37: e678-e684
- The crescent sign of ruptured Baker's cyst.J Gen Fam Med. 2019; 20: 215-216
Article info
Publication history
Published online: January 23, 2023
Accepted:
January 16,
2023
Received:
November 3,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Published by Elsevier Inc. on behalf of Southern Society for Clinical Investigation.
