Unidad de Gestión Clínica Cirugía Ortopédica, Traumatología y Reumatología, Hospital Universitario Virgen del Rocío, Sevilla, España.
Emergencias. 2018;30(6):412-414.
Deep vein thrombosis (DVT) and ruptured Baker's cyst have similar clinical presentations: inflammation and acute pain in the calf. Differential diagnosis is necessary and requires information from Doppler ultrasound imaging because treating suspected DVT with therapeutic doses of low molecular weight heparins (LMWHs) can cause major bleeding and worsen the prognosis of complicated Baker's cyst. We present a series of 7 consecutive cases in which the patients were misdiagnosed with DVT without imaging. LMWHs were started at therapeutic doses in all cases. The patients' symptoms worsened abruptly after treatment, causing compartment syndrome in the leg. Four of the patients required urgent fasciotomy.
深静脉血栓形成（DVT）和破裂的贝克囊肿具有相似的临床表现：小腿炎症和急性疼痛。鉴别诊断是必要的，需要从多普勒超声成像中获取信息，因为用治疗剂量的低分子量肝素（LMWHs）治疗疑似 DVT 会导致大出血，并使复杂贝克囊肿的预后恶化。我们介绍了一系列连续的 7 例病例，这些患者在没有影像学检查的情况下被误诊为 DVT。所有病例均以治疗剂量开始使用 LMWHs。治疗后，患者的症状突然恶化，导致腿部间隔综合征。其中 4 名患者需要紧急筋膜切开术。
