Leow Kheng Song, Chew Kian Ming, Chawla Ashish, Lim Tze Chwan
Department of Diagnostic Radiology, Khoo Teck Puat Hospital, 90 Yishun Central, Singapore, 768828, Republic of Singapore.
Department of Diagnostic Radiology, Woodlands Health Campus, 2 Yishun Central 2, Tower E, Level 5, Singapore, 768024, Republic of Singapore.
Emerg Radiol. 2019 Jun;26(3):349-359. doi: 10.1007/s10140-019-01680-5. Epub 2019 Feb 13.
Calf pain or swelling is a common presentation to the emergency department. The differential diagnoses are wide. Deep vein thrombosis (DVT) is often the first diagnosis to be excluded given its potentially fatal complications. Musculoskeletal causes of calf pain or swelling such as Baker's cyst, muscle or tendon tear, soft tissue infection, and inflammation are not uncommon and can often be confidently diagnosed with ultrasonography (US). Familiarity with these conditions and the sonographic findings would be useful in making timely and correct diagnosis.
小腿疼痛或肿胀是急诊科常见的症状。鉴别诊断范围广泛。鉴于深静脉血栓形成(DVT)可能导致致命并发症,它通常是首先要排除的诊断。小腿疼痛或肿胀的肌肉骨骼原因,如贝克囊肿、肌肉或肌腱撕裂、软组织感染和炎症并不少见,通常通过超声检查(US)就能可靠地诊断出来。熟悉这些病症及其超声表现有助于及时做出正确诊断。