Rabl H, Steiner H
Universitätsklinik für Chirurgie Graz.
Hautarzt. 1992 May;43(5):291-3.
A sudden onset of unilateral swelling and tenderness on pressure of the calf with no history of trauma is suggestive of vein thrombosis. Baker cysts, especially if ruptured, mimic the clinical picture of deep vein leg thrombosis. The examination method of choice is duplex sonography. We report on a 30-year-old man who was admitted to our hospital with signs of deep vein leg thrombosis. Phlebography revealed normal venous circulation. Examination by duplex sonography showed a ruptured Baker cyst. No intra-articular lesions of the knee joint were revealed by arthroscopy. Histological examination of the biopsy specimens of the synovia showed no specific pathologic condition. The clinical signs improved with conservative treatment.
小腿突然出现单侧肿胀且按压时有压痛，无外伤史，提示静脉血栓形成。腘窝囊肿，尤其是破裂时，可模仿下肢深静脉血栓形成的临床表现。首选的检查方法是双功超声检查。我们报告一名30岁男性，因下肢深静脉血栓形成的症状入院。静脉造影显示静脉循环正常。双功超声检查显示腘窝囊肿破裂。关节镜检查未发现膝关节的关节内病变。滑膜活检标本的组织学检查未显示特定病理状况。经保守治疗后临床症状改善。
