TY - CHAP M1 - Book, Section TI - LEG SWELLING SECONDARY TO MUSCLE RUPTURE A1 - Stanbro, Marcus D. A1 - Chastain, Stephen L. A2 - Dean, Steven M. A2 - Satiani, Bhagwan A2 - Abraham, William T. Y1 - 2015 N1 - T2 - Color Atlas and Synopsis of Vascular Diseases AB - A 67-year-old man presented with spontaneous left-calf pain and swelling of 2-days duration. Four weeks prior, he had undergone percutaneous angioplasty of the left anterior descending artery (LADA), and was discharged on aspirin, warfarin, and clopidogrel. On examination, the left calf was swollen and tender with subtle erythematous changes. Posterior tibial and dorsalis pedis pulses were palpable. There were no ecchymoses or petechiae noted. A venous duplex showed a large, complex, mostly hypoechoic fluid collection beginning at the proximal posteromedial aspect of the calf, with distal extension to the medial mid calf (Figures 68-1 and 68-2). The collection was below the muscular fascia and consistent with an intramuscular hematoma. Due to progressive swelling and pain, he was taken to the operating room where a moderate amount of coagulum was removed from the gastrocnemius muscle. Although acute deep vein thrombosis (DVT) should be the predominant concern when anyone presents with acute unilateral pain and swelling, this was unlikely in this patient since he was therapeutically anticoagulated. SN - PB - McGraw-Hill Medical CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1105291931 ER -