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Spontaneous Rupture of a Baker's Cyst Inducing Pseudothrombophlebitis in a Patient with Ankylosing Spondylitis: A Case Report

Baker氏囊腫破裂導致假性栓塞靜脈炎

摘要


54歲僵直性脊椎炎男性發生Baker氏囊腫破裂致假性栓塞靜脈炎。其症狀難與栓塞靜脈炎區分。電腦斷層呈現半月形液體存積在小腿肌肉後方並伴隨軟組織感染,之後以抗生素合併臥床抬腿治癒。此疾需列入小腿腫痛鑑別診斷中。

並列摘要


We report a rare case of pseudothrombophlebitis resulting from spontaneous rupture of a Baker's cyst in a 54-year-old man with ankylosing spondylitis. The presentation of a painful, swollen calf is clinically difficult to differentiate from thrombophlebitis. The diagnosis was confirmed by multi-detector computed tomography which showed a characteristic crescent fluid accumulation behind the calf muscles. An accompanying soft tissue infection was also found. The patient was successfully treated with bed rest, elevation of the leg and antibiotics Prompt correct diagnosis of this rare condition is crucial. This entity should be included in the differential diagnosis of unilateral painful calf swelling.

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