Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Mar 4;30(4):291-293.
doi: 10.4103/jmu.jmu_136_21. eCollection 2022 Oct-Dec.

Point-of-care Ultrasound Helps Differentiate the Causes of Unilateral Lower Limb Swelling with Rapid Progression: A Case Report with Literature Review

Chun-Yen Huang  1 , Jen-Tang Sun  1 , Cheng-Yi Wu  2   3 , Wan-Ching Lien  2   3
Affiliations
Case Reports

Point-of-care Ultrasound Helps Differentiate the Causes of Unilateral Lower Limb Swelling with Rapid Progression: A Case Report with Literature Review

Chun-Yen Huang et al. J Med Ultrasound. .

Abstract

Unilateral lower limb swelling is a common complaint among emergency department (ED) patients. However, an isolated intramuscular hematoma is an uncommon cause of lower limb swelling. We present a case of left thigh swelling after a traffic accident in which an intramuscular hematoma was diagnosed using point-of-care ultrasound. A literature review was also conducted.

Keywords: Intramuscular hematoma; trauma; ultrasound.

PubMed Disclaimer

Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Ultrasonography revealed a 5 cm × 3 cm heterogeneous mass in the left vastus intermedius muscle without pulsatile Doppler signals. Mild edematous changes in the peripheral muscles were also observed. There was no significant edematous change or fluid accumulation in the skin or subcutaneous level
Figure 2
Figure 2
Contrasted computed tomography revealed a hematoma in the right vastus intermedius muscle (white arrow). There was no contrast extravasation
See this image and copyright information in PMC

References

    1. Lin J, Jacobson JA, Fessell DP, Weadock WJ, Hayes CW. An illustrated tutorial of musculoskeletal sonography: Part 4, musculoskeletal masses, sonographically guided interventions, and miscellaneous topics. AJR Am J Roentgenol. 2000;175:1711–9. - PubMed
    1. Bernardi E, Camporese G, Büller HR, Siragusa S, Imberti D, Berchio A, et al. Serial 2-point ultrasonography plus D-dimer vs whole-leg color-coded Doppler ultrasonography for diagnosing suspected symptomatic deep vein thrombosis: A randomized controlled trial. JAMA. 2008;300:1653–9. - PubMed
    1. Nassar A, Talbot R, Grant A, Derr C. Rapid diagnosis of rhabdomyolysis with point-of-care ultrasound. West J Emerg Med. 2016;17:801–4. - PMC - PubMed
    1. Mahmoud OA, Mahmoud MZ. Spectral Doppler findings in a rare case of acute compartment syndrome following leg burn. Radiol Case Rep. 2018;13:352–5. - PMC - PubMed
    1. Quiñones PK, Hattori S, Yamada S, Kato Y, Ohuchi H. Ultrasonography-guided muscle hematoma evacuation. Arthrosc Tech. 2019;8:e721–5. - PMC - PubMed

Publication types