Nebuwa Emmanuel J, Rahman Sadaf, Okoye Uchenna, Ojinnaka Ugochi
Internal Medicine, Rockville Ambulatory Surgery Center, Silver Spring, USA.
Internal Medicine, Anne Arundel Medical Center, Annapolis, USA.
Cureus. 2021 Oct 3;13(10):e18459. doi: 10.7759/cureus.18459. eCollection 2021 Oct.
Intramuscular hematoma most commonly occurs following trauma; however, spontaneous hematomas may be seen in elderly patients due to anticoagulation. Intramuscular hematomas may not be chronically expanding, and their signs and symptoms vary, ranging from asymptomatic to swelling that may be expanding in size. In some cases, chronic hematoma may become infected as we witnessed in the case we present in this report. Our patient reported recurrent cellulitis and occasional fever with no other history of probable cause of the recurrent cellulitis. Such an atypical presentation poses a risk of delayed or missed diagnosis of a condition that can threaten the limb of a patient, as seen in our case.
肌内血肿最常见于外伤后;然而,由于抗凝作用,老年患者也可能出现自发性血肿。肌内血肿可能不会持续扩大,其体征和症状各不相同,从无症状到可能逐渐增大的肿胀。在某些情况下,慢性血肿可能会感染,正如我们在本报告中呈现的病例中所见到的那样。我们的患者报告反复出现蜂窝织炎和偶尔发热,且无其他可能导致反复蜂窝织炎的病史。如此非典型的表现会带来漏诊或延误诊断一种可能威胁患者肢体疾病的风险,就像我们病例中所看到的那样。