Mülkoğlu Cevriye, Alpoğuz Yılmaz Zeynep, Nacır Barış, Genç Hakan
Department of Physical Therapy and Rehabilitation, Ankara Health Application and Research Hospital, Ulucanlar street, 06230, Altındağ/Ankara, Turkey.
BMC Musculoskelet Disord. 2018 Sep 24;19(1):345. doi: 10.1186/s12891-018-2263-8.
Baker's cyst is a benign lesion that results from degenerative or inflammatory diseases of the knee joint. When Baker's cyst ruptures, it may simulate deep vein thrombosis known as Pseudothrombophlebitis syndrome with calf pain, swelling and redness. Pseudothrombophlebitis syndrome without thrombus in popliteal veins has distinct treatment choice than deep vein thrombus.
In this report, we presented a 47 year-old male rheumatoid arthritis patient with complaints of redness, pain and swelling on his right calf. Pseudothrombophlebitis syndrome was diagnosed due to ruptured Baker's cyst.
We used musculoskeletal ultrasound for both differential diagnosis and treatment of pseudothrombophlebitis syndrome. Ultrasonography revealed massive fluid collection within muscle layers. 280 cc inflammatory fluid was aspirated simultaneously. We also emphasized the importance of ultrasonography in diagnosis and treatment of Pseudothrombophlebitis syndrome with this report.
腘窝囊肿是一种由膝关节退行性或炎性疾病引起的良性病变。当腘窝囊肿破裂时，可能会模拟深静脉血栓形成，即所谓的假性血栓性静脉炎综合征，伴有小腿疼痛、肿胀和发红。腘静脉无血栓的假性血栓性静脉炎综合征的治疗选择与深静脉血栓不同。
在本报告中，我们介绍了一名47岁男性类风湿性关节炎患者，其右小腿出现发红、疼痛和肿胀。因腘窝囊肿破裂诊断为假性血栓性静脉炎综合征。
我们使用肌肉骨骼超声对假性血栓性静脉炎综合征进行鉴别诊断和治疗。超声检查显示肌肉层内有大量积液。同时抽出了280毫升炎性液体。我们还通过本报告强调了超声检查在假性血栓性静脉炎综合征诊断和治疗中的重要性。
