[Differential diagnosis of the "fat leg"--a case report].
This is a report about a patient, who came to our hospital because of a painful thickening of her left calf. She was treated with Heparin 48,000 IU/24 hours. A crural vein thrombosis was suspected. Instead of improvement of the symptoms the diameter of the leg grew until the state of a complete Compartment-syndrome. After exact inspection (Sonography, Computertomogramm) we found a hematom of the calf, caused by a rupture of the tibial part of the gastrocnemius muscle. Fasciotomies and evacuation of the blood brought a restitutio ad integrum. Diagnostic methods and faults are discussed.
Forstner
R
R
Röntgendiagnostisches Zentralinstitut, Landeskrankenanstalten Salzburg.
Rendl
K H
KH
Doringer
E
E
Schmoller
H J
HJ
D003161:Compartment Syndromes / Q000175:diagnosis* / Q000601:surgery; D003937:Diagnosis, Differential; D003952:Diagnostic Imaging; D005260:Female; D006406:Hematoma / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007866:Leg / Q000601:surgery; D008875:Middle Aged; D013924:Thrombophlebitis / Q000175:diagnosis* / Q000601:surgery
Zur Differentialdiagnose des "Dicken Beins"--ein Fallbericht.