Rosian R, Mandell B F
Department of Rheumatic and Immunologic Diseases, Cleveland Clinic Foundation, OH 44195, USA.
Cleve Clin J Med. 1995 Sep-Oct;62(5):281-4. doi: 10.3949/ccjm.62.5.281.
This case illustrates the importance of expanding the differential diagnosis beyond ruling out a DVT in a patient presenting with calf swelling. A good history and examination and a compulsive search for an etiology are necessary in the pursuit of the correct diagnosis. In this patient, only after identifying the popliteal cyst and recognizing that it represented an inflammatory synovitis could the cause be determined and the proper treatment instituted.
该病例说明了在小腿肿胀患者中，扩大鉴别诊断范围而不仅仅排除深静脉血栓形成的重要性。为了做出正确诊断，详细的病史、体格检查以及对病因的仔细探寻是必要的。在该患者中，只有在识别出腘窝囊肿并认识到其代表炎症性滑膜炎后，才能确定病因并采取适当的治疗措施。
