PMC9116254_01
Presentation at diagnosis. (A) Right lower extremity. (B) Left lower extremity (medial thigh). (C) Left lower extremity (outer thigh). (D) Left upper extremity. (E) Right upper extremity.
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F0001
A 69-year-old female with a history of rheumatoid arthritis originally presented to the emergency department with significant bruising to her bilateral upper and lower extremities after what the patient reported was a painful insect sting or bite to her left forearm 1 week prior (Figure 1(A-E)).
Presentation day of fasciotomy. (A) Right upper extremity with fingers held in flexion.
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F0002
There was significant tension in the volar compartment of the forearm with an associated flexion contracture of the 2nd through 5th digits of the right hand (Figure 2(A)).
CT Right upper extremity with IV contrast. (A) Axial CT demonstrating a hypodense nonenhancing intramuscular collection within the volar compartment measuring at least 12.3 x 3 x 3 cm. (B) Coronal view of intramuscular collection.
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F0003
Computed-Tomography with IV contrast of the right upper extremity was performed and demonstrated a 12 x 3 x 3 cm hypodense, non-enhancing intramuscular collection within the volar compartment of the medial forearm consistent with a hematoma (Figure 3(A,B)).