Isolated gastrocnemial venous thrombosis mimicking muscle strain or a ruptured Baker' cyst

Min Hsin Lai, Tsung Ying Li, Tzu Yun Wang, Pei Chi Chou, Heng Yi Chu

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Abstract

We report an unusual case of a young Asian male with idiopathic gastrocnemial deep vein thrombosis (DVT) that was initially misdiagnosed as gastrocnemius muscle strain or a ruptured Baker's cyst. He presented with localized tenderness and a swollen and warm mass in the upper portion of his left medial gastrocnemial muscle without history of trauma. The family history was not contributory. Power Doppler ultrasound revealed a hyperechoic mass behind the left medial gastrocnemius muscle and blood flow within the distal gastrocnemial vein, but not within the mass. A D-dimer test revealed a high level of 4288 ng/ml (normal range < 500 ng/ml). The diagnosis of gastrocnemial DVT was confirmed. The patient then received anticoagulation treatment and his symptoms subsided.

Original languageEnglish
Pages (from-to)85-88
Number of pages4
JournalJournal of Medical Sciences
Volume28
Issue number2
Publication statusPublished - 2008 Apr 1

All Science Journal Classification (ASJC) codes

  • Medicine(all)

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