Hamlet Mark, Galanopoulos Ilias, Mahale Avinash, Ashwood Neil
Department of Trauma and Orthopaedics, Queen's Hospital, Burton-on-Trent, UK.
BMJ Case Rep. 2012 Dec 20;2012:bcr2012007901. doi: 10.1136/bcr-2012-007901.
A 69-year-old man presented with sudden onset of pain with acute tense swelling of his left leg. Initially he was treated empirically with antibiotics for cellulitis while the possibility of deep vein thrombosis was ruled out. His symptoms gradually worsened with progressive distal neurological deficit and increasing pain. Further investigations suggested that he had a ruptured Baker's cyst in the calf with development of compartment syndrome.
一名69岁男性因左腿突发疼痛伴急性紧张性肿胀就诊。起初,他接受了针对蜂窝织炎的经验性抗生素治疗,同时排除了深静脉血栓形成的可能性。随着远端神经功能缺损逐渐加重和疼痛加剧,他的症状逐渐恶化。进一步检查提示他小腿部的贝克囊肿破裂并发展为骨筋膜室综合征。