Department of Pathology
Cardiovascular Diseases | Neoplasms | Pathology
We report a case of a 75-year-old female with a history of acute deep vein thrombosis (DVT) 6 years ago who presented with unilateral calf swelling and pain. D-dimer was normal, and compression ultrasound revealed findings typical of DVT, including an incompressible dilated and hypoechoic peroneal vein. Despite 4 months of anticoagulation for supposed recurrent DVT, pain symptoms persisted and repeat D-dimer and compression ultrasound were unchanged. A magnetic resonance imaging scan to investigate the leg demonstrated a 6-cm dissecting Baker's cyst extending posterolaterally resulting in venous compression and distal dilation, which appeared to have been confused with a DVT. Ultrasound-guided aspiration of the cyst provided immediate and sustained relief. Herein we provide a review of the literature for the management of this rare scenario.
Baker’s cyst, D-dimer, DVT, popliteal cyst, recurrent DVT
DOI of Published Version
J Investig Med High Impact Case Rep. 2016 May 13;4(2):2324709616650703. doi: 10.1177/2324709616650703. Link to article on publisher's site
Journal of investigative medicine high impact case reports
Jamshed S, Snyder LM. (2016). An Intact Dissecting Baker's Cyst Mimicking Recurrent Deep Vein Thrombosis. Open Access Articles. https://doi.org/10.1177/2324709616650703. Retrieved from https://escholarship.umassmed.edu/oapubs/2872
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