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.
|頁（從 - 到）||85-88|
|期刊||Journal of Medical Sciences|
|出版狀態||Published - 2008 4月|
All Science Journal Classification (ASJC) codes
- 醫藥 (全部)