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.
|Number of pages||4|
|Journal||Journal of Medical Sciences|
|Publication status||Published - 2008 Apr|
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